Active NPI
Michael Witty, DPT
- Physical Therapist
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.026054
- Practice address
- 1020 E Ogden Ave Ste 207
Naperville, IL 60563-8610 - Phone
- (331) 215-9820
- Fax
- (331) 215-9821
- NPI assigned
- Aug 15, 2021
- Sex
- Male
- 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 | 070.026054 | IL | Primary |
Addresses
Primary practice location
1020 E Ogden Ave Ste 207
Naperville, IL 60563-8610
Mailing address
1501 Broadlawn Dr
Plainfield, IL 60586-5829
Phone (815) 557-9554
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Danada SQ W
Wheaton, IL 60189-2000
Phone (630) 588-8840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.026054 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rci (WRS), LLC. | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Rci (WRS), LLC | Current | Accepting new patients | |
| Rci (WRS), LLC. | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
1020 E Ogden Ave
Ste 207
Naperville, IL 60563
Phone (331) 215-9820
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
2 Danada Sq W
Wheaton, IL 60189
Phone (630) 588-8840
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628985600000",
"number": "1801561477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 BROADLAWN DR",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605865829",
"telephone_number": "815-557-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 E OGDEN AVE STE 207",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638610",
"telephone_number": "331-215-9820",
"fax_number": "331-215-9821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTY",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-15",
"last_updated": "2021-08-15",
"certification_date": "2021-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.026054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2021; 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.