Active NPI
Leanna Bahwell
- Physical Therapist
- Warrenville, IL
National Provider Identifier
1780958348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.017867
- Practice address
- 28100 Torch Pkwy
Warrenville, IL 60555-4026 - Phone
- (847) 804-5187
- NPI assigned
- Feb 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 070.017867 | IL | Primary |
Addresses
Primary practice location
28100 Torch Pkwy
Warrenville, IL 60555-4026
Mailing address
28100 Torch Pkwy
Warrenville, IL 60555-4026
Phone (847) 804-5187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1066 Butler Dr
Crystal Lake, IL 60014-6927
28100 Torch Pkwy
Warrenville, IL 60555-4026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.017867 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1780958348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28100 TORCH PKWY",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605554026",
"telephone_number": "847-804-5187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28100 TORCH PKWY",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605554026",
"telephone_number": "847-804-5187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHWELL",
"first_name": "LEANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-29",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.017867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.