Individual provider Active NPI

Jon Michael Williams, PT, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1811275282
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018677 Issued in IL
Practice address
2235 N Sheffield Ave
Room 120
Chicago, IL 60614-3621
Phone
(773) 525-4966
NPI assigned
Aug 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070018677 IL Primary

Addresses

Primary practice location

2235 N Sheffield Ave
Room 120
Chicago, IL 60614-3621

Mailing address

400 N Lasalle St
Unit 3807
Chicago, IL 60654-8539
Phone (608) 931-4745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827003153 IL Practitioner - Physical Therapist in Private Practice 7315364940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 N Racine Ave
Suite 1000B
Chicago, IL 60614-7011
Phone (312) 330-1607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070018677ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rci (WRS), LLC. Physical Therapist Current Accepting new patients
Rci (WRS), LLC CurrentSince Apr 15, 2020 Accepting new patients
Lifesport Physical Therapy PC Physical Therapist CurrentSince Oct 17, 2023 Accepting new patients
Rci (WRS), Inc. CurrentSince Apr 15, 2020 Accepting new patients

Locations

1420 W 18th St
Chicago, IL 60608
Phone (773) 830-2270

2000 N Racine Ave
Ste 1000B
Chicago, IL 60614
Phone (312) 625-9146

826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165

Organizations & group practices 4

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": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1811275282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N LASALLE ST",
            "address_2": "UNIT 3807",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606548539",
            "telephone_number": "608-931-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 N SHEFFIELD AVE",
            "address_2": "ROOM 120",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143621",
            "telephone_number": "773-525-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.

Verify at the official NPI Registry.