Mitchell Janca, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

070.025540 Issued in IL

Practice address

411 N Randall Rd
Lake in the Hills, IL 60156-6335

Phone

(847) 854-9754

NPI assigned

Apr 22, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pres Physical Therapy

  • Physical Therapy Clinic/Center
  • Bartlett, IL
  • NPI 1427060706

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1740862424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 HARDING RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933305",
            "telephone_number": "224-548-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N RANDALL RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566335",
            "telephone_number": "847-854-9754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "874 S Sutton Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "IL",
            "postal_code": "601031633",
            "country_code": "US",
            "telephone_number": "630-837-2705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANCA",
        "first_name": "MITCHELL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070.025540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Habiba Ishtiaq
• Jennifer Ann Jackson Ciullo, PHARM D
• Rishab Jain
• Ellen James, LSW
• Jane-Erin Janachowski, M.ED, BCBA
• Cheryl Janu, COTA/L
• Kevin Michael Jara, O.D.
• JKT Enterprises Inc. (Delta Chiropractic)
• Mandi Joplin
• Michael John Genon Jumao-As, PT,DPT

• Orthopedic Physical Therapist in Lake in the Hills, IL
• Providers in Lake in the Hills, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.