Michael James Girzadas

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2017026662 Issued in MO

Practice address

12243 S Nagle Ave
Palos Heights, IL 60463-1721

Phone

(708) 912-5196

NPI assigned

Jul 25, 2018

Last updated

Jul 25, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1942787510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12243 S NAGLE AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631721",
            "telephone_number": "708-912-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12243 S NAGLE AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631721",
            "telephone_number": "708-912-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRZADAS",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23614",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5150",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2017026662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Gilhooly, APRN, CRNA
• Alan R Gill, LCSW,SAP.,MSW
• Jacob W Gilman
• Jamie Gilmartin, L.C.P.C, C.A.D.C.
• Sunita J Ginde
• Russell H Glantz, M.D.
• Phyllis Glazer
• Danielle P Glickley, LSW
• Susan M Glickley, LCPC
• Lindsay Glos

• Physical Therapist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.