Active NPI
Heidi R Mayer, PT
- Physical Therapist
- Skokie, IL
National Provider Identifier
1679736730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070006422
- Practice address
- 4905 Old Orchard Ctr
Concourse Level
Skokie, IL 60077-1458 - Phone
- (847) 679-6707
- Fax
- (847) 679-6721
- NPI assigned
- Jul 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070006422 | IL | Primary |
Addresses
Primary practice location
4905 Old Orchard Ctr
Concourse Level
Skokie, IL 60077-1458
Mailing address
4905 Old Orchard Ctr
Concourse Level
Skokie, IL 60077-1458
Phone (847) 679-6707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070006422 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denenberg Medical SC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1659601862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1679736730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4905 OLD ORCHARD CTR",
"address_2": "CONCOURSE LEVEL",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771458",
"telephone_number": "847-679-6707",
"fax_number": "847-679-6721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 OLD ORCHARD CTR",
"address_2": "CONCOURSE LEVEL",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771458",
"telephone_number": "847-679-6707",
"fax_number": "847-679-6721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "HEIDI",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070006422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.