Adam D Wolf, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070015710 Issued in IL

Practice address

1659 W Hubbard St
Chicago, IL 60622-6352

Phone

(312) 614-1349

Fax

(312) 526-3312

NPI assigned

May 30, 2007

Last updated

Mar 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Real PT LLCGroup PAC ID 4789015983, 6 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Real PT LLC

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1760860621
  Medicare reassignment Care Compare group NPD Authorized official
• 360 Physical Therapy, LLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1154651149
  NPD (past) Authorized official
• Accelerated Rehabilitation Centers LTD

  • Physical Therapist
  • Westmont, IL
  • NPI 1205875713
  NPD (past)
• Chicago Rehabilitation Services Inc

  • Physical Therapist
  • Chicago, IL
  • NPI 1881766921
  NPD (past)
• Occusport Services Inc.

  • Physical Therapist
  • Lockport, IL
  • NPI 1952350886
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1952502627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 W HUBBARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226352",
            "telephone_number": "312-614-1349",
            "fax_number": "312-526-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 W HUBBARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226352",
            "telephone_number": "312-614-1349",
            "fax_number": "312-526-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "ADAM",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "367885100",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL GROUP NUMBER",
            "identifier": "1619908",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "1623066",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher C Wolcott, D.C.
• Saba Woldegabre, MD
• Joel Woldt, MA,ACSM, CES
• Deborah Lee Wolen, APN
• Wolf Pack Therapy, LLC
• Alexandra Wolf, MD
• Amy Rose Wolf, L.AC.
• Andrew Wolf
• Ashley Elizabeth Wolf, M.D.
• Avi Vodnoy Wolf, LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.