Active NPI
Wojciech Jacek Mika, DPT
- Physical Therapist
- Buffalo Grove, IL
National Provider Identifier
1801492277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 985 S Buffalo Grove Rd
Buffalo Grove, IL 60089-3702 - Phone
- (847) 681-1161
- NPI assigned
- Dec 9, 2020
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
985 S Buffalo Grove Rd
Buffalo Grove, IL 60089-3702
Mailing address
654 Le Parc Cir
Buffalo Grove, IL 60089-6914
Phone (773) 809-9425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Dewes St
Suite B
Glenview, IL 60025-4377
Phone (847) 920-7887
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
1800 Dewes St
Ste B
Glenview, IL 60025
Phone (847) 920-7887
Organizations & group practices 1
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": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1801492277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 LE PARC CIR",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896914",
"telephone_number": "773-809-9425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985 S BUFFALO GROVE RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600893702",
"telephone_number": "847-681-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKA",
"first_name": "WOJCIECH",
"middle_name": "JACEK",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-09",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.