Individual provider Active NPI

Jill Katherine Bowman, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1922148204
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.010272 Issued in IL
Practice address
1509 W Berwyn Ave # 201-a
Chicago, IL 60640-2109
Phone
(773) 407-3663
Fax
(773) 506-7112
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.010272 IL Primary

Addresses

Primary practice location

1509 W Berwyn Ave # 201-a
Chicago, IL 60640-2109

Mailing address

1106 Austin St
#2
Evanston, IL 60202-2707
Phone (773) 407-3663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110608000815 IL Practitioner - Physical Therapist in Private Practice 8022295559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1818 Dempster St
Evanston, IL 60202-1003
Phone (773) 407-3663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.010272ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Human Touch Therapeutics, Inc Physical Therapist CurrentSince Jan 18, 2016 Accepting new patients
Lilian Holm Wellness, LLC Physical Therapist Past Accepting new patients

Locations

1570 Oak Ave
Ste 101
Evanston, IL 60201
Phone (773) 407-3663

1818 Dempster St
Evanston, IL 60202
Phone (773) 407-3663

1609 Sherman Ave
Ste 207
Evanston, IL 60201
Phone (773) 398-5903

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1922148204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 AUSTIN ST",
            "address_2": "#2",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022707",
            "telephone_number": "773-407-3663",
            "fax_number": "773-506-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W BERWYN AVE # 201-A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402109",
            "telephone_number": "773-407-3663",
            "fax_number": "773-506-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "JILL",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.010272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.