Active NPI
Dana S Weith, DPT
- Physical Therapist
- Homer Glen, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.017186
- Practice address
- 14301 S Golden Oak Dr
Homer Glen, IL 60491-9696 - Phone
- (708) 645-7700
- NPI assigned
- Jul 15, 2009
- 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 | 070.017186 | IL | Primary |
Addresses
Primary practice location
14301 S Golden Oak Dr
Homer Glen, IL 60491-9696
Mailing address
1117 W 17TH St
Chicago, IL 60608-2302
Phone (815) 353-2072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202421 | Other | MEDICARE GROUP ID-UNSPECIFIED |
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14753 Founders Xing
Homer Glen, IL 60491-6716
Phone (708) 645-7700
16517 106TH CT
Orland Park, IL 60467-4545
Phone (708) 966-4386
16517 S 106TH Court
Orland Park, IL 60467-4545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.017186 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodlife Physical Therapy | Physical Therapist | Current | Accepting new patients |
| O'Connor Foundation | Physical Therapist | Current | Accepting new patients |
Locations
14753 Founders Xing
Homer Glen, IL 60491
Phone (708) 645-7700
16517 106th Ct
Orland Park, IL 60467
Phone (708) 966-4386
Organizations & group practices 2
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 Therapist
- Orland Park, IL
- NPI 1053557264
-
- Rehabilitation Practitioner
- Willow Springs, IL
- NPI 1891978482
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1861622656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 W 17TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606082302",
"telephone_number": "815-353-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14301 S GOLDEN OAK DR",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604919696",
"telephone_number": "708-645-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITH",
"first_name": "DANA",
"middle_name": "S",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-15",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.017186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID-UNSPECIFIED",
"identifier": "202421",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homer Glen, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.