Active NPI
Carrie Nicole Cicciu-Singer, PT
- Physical Therapist
- Vernon Hills, IL
National Provider Identifier
1699884346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-009001
- Practice address
- 10 W Phillip Rd Ste 103
Vernon Hills, IL 60061-1730 - Phone
- (847) 702-1542
- Fax
- (847) 702-1542
- NPI assigned
- Aug 29, 2006
- 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 | 070-009001 | IL | Primary |
Addresses
Primary practice location
10 W Phillip Rd Ste 103
Vernon Hills, IL 60061-1730
Mailing address
258 E Marseilles St
Vernon Hills, IL 60061-4147
Phone (847) 702-1542
Other practice location 1
258 E Marseilles St
Vernon Hills, IL 60061-4147
Phone (847) 702-1542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001625625 | Other | IL | BLUE CROSS/BLUE SHIELD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-009001 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrie Cicciu-Singer, PT Inc. | Physical Therapist | Past | Accepting new patients |
| Carrie Cicciu-Singer, PT Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Vernon Hills, IL
- NPI 1649786237
-
- Pediatric Physical Therapist
- Vernon Hills, IL
- NPI 1720336951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1699884346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 E MARSEILLES ST",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600614147",
"telephone_number": "847-702-1542",
"fax_number": "847-478-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 W PHILLIP RD STE 103",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611730",
"telephone_number": "847-702-1542",
"fax_number": "847-702-1542"
}
],
"practiceLocations": [
{
"address_1": "258 E Marseilles St",
"address_purpose": "LOCATION",
"city": "Vernon Hills",
"state": "IL",
"postal_code": "600614147",
"country_code": "US",
"telephone_number": "847-702-1542",
"fax_number": "847-478-5311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CICCIU-SINGER",
"first_name": "CARRIE",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-009001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0001625625",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.