Active NPI
Jill Katherine Bowman, PT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1922148204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.010272
- 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
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 | 070.010272 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070.010272 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Touch Therapeutics, Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Evanston, IL
- NPI 1932566890
-
- Physical Therapist
- Evanston, IL
- NPI 1902354954
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.