Angela Marcotte, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.021243 Issued in IL

Practice address

600 Basil Rd
Lake Bluff, IL 60044

Phone

(224) 288-8797

Fax

(847) 574-5902

NPI assigned

Oct 21, 2013

Last updated

Aug 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ei Baby Doctor PC

  • Early Intervention Provider Agency
  • Lake Bluff, IL
  • NPI 1851989552

  Physical Therapist

  NPD Authorized official
• The Baby Doctor and Company

  • Physical Therapist
  • Lake Bluff, IL
  • NPI 1891202602
  NPD Authorized official

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1720416274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BASIL RD",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441704",
            "telephone_number": "224-288-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BASIL RD",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "60044",
            "telephone_number": "224-288-8797",
            "fax_number": "847-574-5902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Basil Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Bluff",
            "state": "IL",
            "postal_code": "60044",
            "country_code": "US",
            "telephone_number": "224-288-8797",
            "fax_number": "847-574-5902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCOTTE",
        "first_name": "ANGELA",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-21",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 28548",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047345",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.021243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc. (Target Optical #4836)
• Mack E. Winn and Associates Inc.
• James R Macnaughton, DDS
• Amina Madinah
• Cornelius D Mahoney, PHD
• Mariellen Mardis, MAT
• Gina C Martin
• Kristen Martin, MS, OTR/L
• Jamie Lou Mason, LPC
• Aubrey Brooke Matella, MD

• Physical Therapist in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.