Active NPI
Cindy Louise Jarosch, PTA
- Physical Therapy Assistant
- Gurnee, IL
National Provider Identifier
1811335136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160.003105
- Practice address
- 105 N Greenleaf St
Gurnee, IL 60031-3326 - Phone
- (847) 263-8880
- NPI assigned
- Jun 9, 2013
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 160.003105 | IL | Primary |
Addresses
Primary practice location
105 N Greenleaf St
Gurnee, IL 60031-3326
Mailing address
613 Meridian Way
Antioch, IL 60002-1171
Phone (847) 838-9537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.003105 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370736000000",
"number": "1811335136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 MERIDIAN WAY",
"city": "ANTIOCH",
"state": "IL",
"postal_code": "600021171",
"telephone_number": "847-838-9537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N GREENLEAF ST",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313326",
"telephone_number": "847-263-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAROSCH",
"first_name": "CINDY",
"middle_name": "LOUISE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-09",
"last_updated": "2013-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160.003105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.