Liesel Brown Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070009534 Issued in IL

Legal business name

LIESEL BROWN PHYSICAL THERAPY LLC

Practice address

1110 Ashland Ave
Wilmette, IL 60091-1604

Phone

(847) 728-0550

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Authorized official

Name

Liesel Brown, PT

Title

Owner

Phone

(847) 728-0550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1801154968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 ASHLAND AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ASHLAND AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911604",
            "telephone_number": "847-728-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIESEL BROWN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LIESEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-728-0550",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070009534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter R Lewy, MD
• John T Leyland II, MD
• LGM,LLC
• Austin Li
• Shira Lichtenstein, AM, LSW
• Light on Anxiety
• Jim Limperis, D.M.D.
• Sabrina My Lin, MD
• Sandra Lee Lindaman, LCSW
• Mary Ellen Lipnitz, MA CCC SLP

• Physical Therapist in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.