Wiebusch Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WIEBUSCH PHYSICAL THERAPY, INC

Practice address

900 N North Branch St
Chicago, IL 60622-4278

Phone

(773) 750-7648

Fax

(773) 327-7470

NPI assigned

Aug 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Traci Wiebusch Hill, MPTNPI 1740297670

Title

President

Phone

(773) 750-7648

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Traci Wiebusch Hill, MPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1740297670
  NPD (past) Authorized official
• Karen L. Schwartz, OTR/L MS

  • Occupational Therapist
  • Forest Park, IL
  • NPI 1558313486
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689681520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WEST WRIGHTWOOD AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147335",
            "telephone_number": "773-750-7648",
            "fax_number": "773-327-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N NORTH BRANCH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224278",
            "telephone_number": "773-750-7648",
            "fax_number": "773-327-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIEBUSCH PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "WIEBUSCH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-750-7648",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01634891",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annie Laurie Widlicka, MS, RD, LDN
• Kassie Widmyer, LCSW
• Olivia Widner, MC, LPC
• Katherine Wido
• Wendy Widom, MASTER OF ARTS
• Malgorzata Wieczorek-Tlalka, DDS
• Stephanie A Wieczorek, O.D.
• Martha Wiedlin, P.T.
• Margaret Anne Wiedmann, MD
• Thomas A Wiedrich, MD

• Physical Therapy Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.