Debra Witt, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.006468 Issued in IL

Practice address

1546 Water St
Blue Island, IL 60406-5094

Phone

(708) 505-2298

NPI assigned

Jan 5, 2022

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 IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Council for Jewish ElderlyGroup PAC ID 8224932702, 20 clinicians

Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 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.

• Council for Jewish Elderly

  dba CJE SeniorLife

  • Rehabilitation Clinic/Center
  • Deerfield, IL
  • NPI 1467012807
  Medicare reassignment Care Compare group NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • O'Fallon, IL
  • NPI 1982018362
  Medicare reassignment Care Compare group NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1881355535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 AUSTEN CT",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604487952",
            "telephone_number": "708-606-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 WATER ST",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604065094",
            "telephone_number": "708-505-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "DEBRA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.006468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara May Wieties-Malm, MD
• Sarah L Williams
• Shirley Vernetha Willis III, REGISTERED NURSE
• Alma Wingard
• Scott Charles Wirtanen, PHARMD
• Miyoung Won, MD
• Laura Woodard
• Briana E Wright, LSW
• WSKC Dialysis Services, Inc. (Fresenius Medical Care Blue Island)
• Kathleen Yakaitis

• Physical Therapist in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.