Active NPI
Olivia Correa
- Physical Therapist
- Wheaton, IL
National Provider Identifier
1821811019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.028665
- Practice address
- 1145 Butterfield Rd
Wheaton, IL 60189-8807 - Phone
- (630) 856-6465
- NPI assigned
- Nov 5, 2024
- Last updated
- Nov 5, 2024
- 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 Therapist | 225100000X | 070.028665 | Primary |
Addresses
Primary practice location
1145 Butterfield Rd
Wheaton, IL 60189-8807
Mailing address
1145 Butterfield Rd
Wheaton, IL 60189-8807
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Glenoaks Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Adventhealth Glenoaks
- Psychiatric Hospital Unit
- Glendale Heights, IL
- NPI 1477572949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1821811019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 BUTTERFIELD RD",
"city": "WHEATON",
"state": "IL",
"postal_code": "601898807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 BUTTERFIELD RD",
"city": "WHEATON",
"state": "IL",
"postal_code": "601898807",
"telephone_number": "630-856-6465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA",
"first_name": "OLIVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-05",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "070.028665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.