John Henning Egge, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-019137 Issued in IL

Practice address

158 S Waukegan Rd
Deerfield, IL 60015-5203

Phone

(847) 480-1280

Fax

(847) 480-1279

NPI assigned

Aug 15, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wisconsin River Orthopaedics, LTD.Group PAC ID 4880607431, 18 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.

• Wisconsin River Orthopaedics, LTD.

  • Orthopaedic Surgery Physician
  • Wisconsin Rapids, WI
  • NPI 1144274390
  Medicare reassignment Care Compare group NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1932488442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 E BELVIDERE RD",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302289",
            "telephone_number": "847-548-0360",
            "fax_number": "847-548-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 S WAUKEGAN RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155203",
            "telephone_number": "847-480-1280",
            "fax_number": "847-480-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGE",
        "first_name": "JOHN",
        "middle_name": "HENNING",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11359",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-019137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher J Dymon, PHARMD
• Nathan Dynia
• Jomon M Edakara
• Brent Corbin Edelcup, PHARMD
• Kelsey Egan, MSW, LCSW
• Deborah Terry Ehrlich, MD
• Steven Barry Eiden, O.D.
• Eric Jay Eisen, DDS MS
• Ej Vision, Inc. (Falcon Eye Care)
• Phillip L. Elbaum, MSW

• Physical Therapist in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.