Active NPI
Greg Mierzwa
- Physical Therapist
- Chicago Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070018409
- Practice address
- 10300 Southwest Hwy
Chicago Ridge, IL 60415-1426 - Phone
- (708) 425-1100
- NPI assigned
- Jan 13, 2016
- Last updated
- Apr 14, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05010519A | IN | |
| Physical Therapist | 225100000X | 070018409 | IL | Primary |
Addresses
Primary practice location
10300 Southwest Hwy
Chicago Ridge, IL 60415-1426
Mailing address
4615 N Beacon St Apt 1S
Chicago, IL 60640-7012
Phone (312) 343-3868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 E Woodfield Rd
Suite 810
Schaumburg, IL 60173-5211
Phone (844) 484-9910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05010519A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Wound Care Medical Group | Current | Accepting new patients | |
| Vital Care Wound Solutions Co | Current | Accepting new patients |
Locations
5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861
4001 W Devon Ave
Ste 300
Chicago, IL 60646
Phone (312) 448-7701
1701 E Woodfield Rd
Ste 745
Schaumburg, IL 60173
1701 E Woodfield Rd
Ste 810
Schaumburg, IL 60173
Phone (773) 341-6516
1821 Walden Office Sq
Ste 400
Schaumburg, IL 60173
Phone (323) 488-4863
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Schaumburg, IL
- NPI 1992507032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1689030199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4615 N BEACON ST APT 1S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606407012",
"telephone_number": "312-343-3868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SOUTHWEST HWY",
"city": "CHICAGO RIDGE",
"state": "IL",
"postal_code": "604151426",
"telephone_number": "708-425-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIERZWA",
"first_name": "GREG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-13",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010519A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070018409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago Ridge, IL
- Mid American Physical Therapy PC
- Midwest Community Laboratories Inc
- Midwest Express Care 2, Inc (Midwest Express Clinic)
- Midwest Interventional Pain Solutions LLC (Midwest Pain and Wellness)
- Midwest Interventional Pain Solutions LLC
- Mighty Speechworks Inc
- Audrey Natasha Mighty-Harmon, M.S., CCC-SLP
- Millenium Pharmacy LTD (Millennium Pharmacy)
- Millenium Pharmacy LTD (Millennium Pharmacy)
- Milt88 Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.