Active NPI
Jon Michael Williams, PT, DPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070018677
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070018677 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rci (WRS), LLC. | Physical Therapist | Current | Accepting new patients |
| Rci (WRS), LLC | Current | Accepting new patients | |
| Lifesport Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Rci (WRS), Inc. | Current | 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.
-
- Physical Therapy Clinic/Center
- Chicago, IL
- NPI 1881312874
Physical Therapist
-
- Rehabilitation Clinic/Center
- Naperville, IL
- NPI 1124653894
-
- Physical Therapy Clinic/Center
- Mokena, IL
- NPI 1568160950
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.