Active NPI
Denise Anne Mudronja, PT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070018929
- Practice address
- 5333 N Sheridan Rd
Chicago, IL 60640-7371 - Phone
- (773) 997-2898
- NPI assigned
- Feb 12, 2012
- 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 | 070018929 | IL | Primary |
Addresses
Primary practice location
5333 N Sheridan Rd
Chicago, IL 60640-7371
Mailing address
5700 N Clark St
Unit 2
Chicago, IL 60660-4020
Phone (513) 479-9613
Other names 1
- Ms. Denise Anne Gervais
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1390 S Crescent St
Gilman, IL 60938-6129
Phone (414) 721-8669
5790 Denlinger Rd
Dayton, OH 45426-2298
Phone (414) 721-8669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070018929 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| Rex Therapeutics, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
1390 S Crescent St
Gilman, IL 60938
Phone (414) 721-8669
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
7836 Frontage Rd
Skokie, IL 60077
Phone (414) 721-8669
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
5790 Denlinger Rd
Trotwood, OH 45426
Phone (414) 721-8669
Organizations & group practices 7
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
- North Riverside, IL
- NPI 1699094102
-
- Occupational Therapist
- Edwardsville, IL
- NPI 1679098263
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Belleville, IL
- NPI 1174118103
Physical Therapist
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
Physical Therapist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1750654455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 N CLARK ST",
"address_2": "UNIT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606604020",
"telephone_number": "513-479-9613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5333 N SHERIDAN RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606407371",
"telephone_number": "773-997-2898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUDRONJA",
"first_name": "DENISE",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-12",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070018929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "GERVAIS",
"middle_name": "ANNE",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.