Active NPI
Theresa Watkins, PT
- Physical Therapy Assistant
- Harvey, IL
National Provider Identifier
1891748513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160003451
- Practice address
- 71 W 156TH St
Suite 208
Harvey, IL 60426 - Phone
- (708) 331-6669
- Fax
- (708) 333-9902
- NPI assigned
- May 17, 2006
- 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 | 160003451 | IL | Primary |
Addresses
Primary practice location
71 W 156TH St
Suite 208
Harvey, IL 60426
Mailing address
4501 N Winchester Ave
3Rd FL
Chicago, IL 60640
Phone (773) 250-0500
Other names 1
- Theresa Chapla
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 |
|---|---|---|---|
| 160003451 | IL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Institute of Neurosurgery & Neuroresearch | 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 and National Provider Directory roles.
-
- Neurological Surgery Physician
- Chicago, IL
- NPI 1326099391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229558400000",
"number": "1891748513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 N WINCHESTER AVE",
"address_2": "3RD FL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60640",
"telephone_number": "773-250-0500",
"fax_number": "773-250-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 W 156TH ST",
"address_2": "SUITE 208",
"city": "HARVEY",
"state": "IL",
"postal_code": "60426",
"telephone_number": "708-331-6669",
"fax_number": "708-333-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "THERESA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2008-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160003451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "CHAPLA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Harvey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.