Active NPI
Katherine Wax, PT
- Physical Therapist
- Palos Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-014502
- Practice address
- 7225 W College Dr
Palos Heights, IL 60463-1101 - Phone
- (708) 361-5355
- Fax
- (708) 361-5399
- NPI assigned
- Oct 13, 2006
- Last updated
- Sep 24, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 070-014502 | IL | Primary |
Addresses
Primary practice location
7225 W College Dr
Palos Heights, IL 60463-1101
Mailing address
1850 W Oakdale Ave
Chicago, IL 60657
Phone (815) 834-2400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1623066 | Other | IL | BCBS PROVIDER # |
| CJ4383 | Other | IL | R.R. MEDICARE GRP# |
| 367885100 | Other | IL | US DEPT OF LABOR PROV # |
| P00238078 | Other | IL | R.R. MEDICARE PIN # |
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3657 N Pine Grove Ave
Chicago, IL 60613-4503
Phone (773) 248-3401
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-014502 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rci (WRS), LLC. | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Rci (WRS), LLC. | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings, Inc. | Current | Accepting new patients | |
| Rci (WRS), LLC | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Physical Therapist | Current | Accepting new patients |
Locations
1835 Solutions Ctr
Chicago, IL 60677
3657 N Pine Grove Ave
Chicago, IL 60613
Phone (773) 248-3401
2500 Williamson County Pkwy
Ste B
Marion, IL 62959
Phone (618) 997-9497
826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165
Organizations & group practices 8
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.
-
dba RUSH Physical Therapy
- Physical Therapy Clinic/Center
- Mount Prospect, IL
- NPI 1417561655
Physical Therapist
-
dba Revolution Physical Therapy Weight Loss
- Physical Therapist
- Chicago, IL
- NPI 1164766606
-
dba NovaCare Rehabilitation
- Rehabilitation Clinic/Center
- Benton, IL
- NPI 1992352215
-
- Physical Therapy Clinic/Center
- Mokena, IL
- NPI 1568160950
-
dba RUSH Physical Therapy
- Rehabilitation Clinic/Center
- Oakbrook Terrace, IL
- NPI 1093320855
-
- Physical Therapy Clinic/Center
- Chicago, IL
- NPI 1942475488
Physical Therapist
-
dba NovaCare Rehabilitation
- Rehabilitation Clinic/Center
- Carbondale, IL
- NPI 1508465253
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1710077557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 W OAKDALE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60657",
"telephone_number": "815-834-2400",
"fax_number": "815-834-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7225 W COLLEGE DR",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631101",
"telephone_number": "708-361-5355",
"fax_number": "708-361-5399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAX",
"first_name": "KATHERINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-014502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "1623066",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R.R. MEDICARE GRP#",
"identifier": "CJ4383",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR PROV #",
"identifier": "367885100",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R.R. MEDICARE PIN #",
"identifier": "P00238078",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.