Beth Ann Wilczewski, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.002667 Issued in IL

Practice address

16051 S la Grange Rd
Orland Park, IL 60467-5605

Phone

(708) 403-2001

NPI assigned

Mar 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Washington, MO
  • NPI 1407487366

  Occupational Therapist

  Medicare reassignment NPD
• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Wichita, KS
  • NPI 1730636846

  Occupational Therapist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1821311564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 W MAPLE ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053043",
            "telephone_number": "708-424-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16051 S LA GRANGE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675605",
            "telephone_number": "708-403-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCZEWSKI",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.002667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Wic
• Janet Lynn Wichmann, L.C.P.C.
• Nancy L. Widger, RN
• Fionnuala Wierzgac, REGISTERED NURSE
• Carolyn J Wikstrom, PHARM.D.
• Timothy Wild, COTA
• Jillian Wilder
• Ann Wilke, DPT
• William a. Seper, D.D.S., P.C.
• William I Crevier MD LTD

• Occupational Therapist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.