Individual provider Active NPI

Natalie Crocilla, PTA

  • Physical Therapy Assistant
  • Lake Zurich, IL
National Provider Identifier
1760115182
Registry record updated Jul 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160009559 Issued in IL
Practice address
755 Ela Rd
Lake Zurich, IL 60047-2412
Phone
(847) 550-9784
Fax
(847) 550-9780
NPI assigned
Jul 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160009559 IL Primary

Addresses

Primary practice location

755 Ela Rd
Lake Zurich, IL 60047-2412

Mailing address

755 Ela Rd
Lake Zurich, IL 60047-2412
Phone (847) 550-9784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
160009559ILMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Physical Therapy Institute Inc. CurrentSince Jul 10, 2022 Accepting new patients
Michael Reilly M.D. Holistic & Family Practice Medicine LTD PastSince Jul 10, 2022 Accepting new patients

Locations

755 Ela Rd
Lake Zurich, IL 60047
Phone (847) 550-9784

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1760115182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 ELA RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472412",
            "telephone_number": "847-550-9784",
            "fax_number": "847-550-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 ELA RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472412",
            "telephone_number": "847-550-9784",
            "fax_number": "847-550-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCILLA",
        "first_name": "NATALIE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-04",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160009559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; 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.