Individual provider Active NPI

Julianne G Janiszewski, P.T.

  • Physical Therapist
  • Round Lake Beach, IL
National Provider Identifier
1962595967
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
301 E Rollins Road
Round Lake Beach, IL 60073-1331
Phone
(847) 201-7612
Fax
(847) 201-7613
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 IL Primary

Addresses

Primary practice location

301 E Rollins Road
Round Lake Beach, IL 60073-1331

Mailing address

301 E Rollins Road
Round Lake Beach, IL 60073-1331
Phone (847) 201-7612

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-014169ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Physical Therapy LLC Physical Therapist PastSince Sep 15, 2018 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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962595967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E ROLLINS ROAD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731331",
            "telephone_number": "847-201-7612",
            "fax_number": "847-201-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E ROLLINS ROAD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731331",
            "telephone_number": "847-201-7612",
            "fax_number": "847-201-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANISZEWSKI",
        "first_name": "JULIANNE",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Lake Beach, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.