Fmdce/ Montclare Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070006767 Issued in IL

Legal business name

FMDCE/ MONTCLARE PHYSICAL THERAPY

Practice address

1927 Sherman Ave
Suite #3
Evanston, IL 60201-6100

Phone

(847) 328-7316

Fax

(847) 328-7316

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Andrew M Bartkowski, M.SC., R.P.T.NPI 1235257213

Title

President

Phone

(847) 328-7316

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Montclare Physical Therapy Doing business as

Practitioners 1

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

• Andrew M Bartkowski, R.P.T.,M.SC.,M.B.A.

  • Physical Therapist
  • Evanston, IL
  • NPI 1235257213
  NPD (past) Authorized official

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1699975003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 SHERMAN AVE",
            "address_2": "SUITE #3",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602016100",
            "fax_number": "847-328-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 SHERMAN AVE",
            "address_2": "SUITE #3",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602016100",
            "telephone_number": "847-328-7316",
            "fax_number": "847-328-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMDCE/ MONTCLARE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "BARTKOWSKI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-328-7316",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.SC., R.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070006767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "070006767",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21630322",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montclare Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Lucas Flemma
• Joseph L Flint, LCPC
• Nicole Patriarca Flora, PA-C
• Nancy Flowers
• Savannah Flowers
• Ellie E Fogel
• Lisa Marie Fogt, MD
• Amanda Christine Foley, M.D.
• Robin Elizabeth Foley, SLP
• Dickelle Fonda, LCSW

• Physical Therapist in Evanston, IL
• Providers in Evanston, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.