Individual provider Active NPI

Lee Anne Dresden

  • Physical Therapist
  • Buffalo Grove, IL
National Provider Identifier
1942581962
Registry record updated Sep 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.004859 Issued in IL
Practice address
19 Dellmont CT
Buffalo Grove, IL 60089-6819
Phone
(847) 634-0757
NPI assigned
Sep 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 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 070.004859 IL Primary

Addresses

Primary practice location

19 Dellmont CT
Buffalo Grove, IL 60089-6819

Mailing address

19 Dellmont CT
Buffalo Grove, IL 60089-6819
Phone (847) 634-0757

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

LicenseStateTypeSpecialty
070.004859ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Service & Repair, Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1315008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315008000000",
    "number": "1942581962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DELLMONT CT",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896819",
            "telephone_number": "847-634-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DELLMONT CT",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896819",
            "telephone_number": "847-634-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESDEN",
        "first_name": "LEE ANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-03",
        "last_updated": "2011-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.004859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.