MARIEL DE VERA VISCONDE RPT
NPI 1629323696
Physical Therapist in Zion, IL
About Mariel De Vera Visconde Rpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIEL DE VERA VISCONDE RPT (NPI 1629323696) is an individual physical therapist in Zion, Illinois, licensed in Illinois (070018847) and active in the NPI registry since July 2012.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mariel De Vera Visconde Rpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mariel Visconde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Island Lake, IL 60042
- Reassigned Medicare billing, Illinois enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mariel Visconde's NPI number?
The NPI number for Mariel Visconde is 1629323696. It was assigned to this individual provider in the NPPES registry on July 16, 2012.
Where is Mariel Visconde located?
Mariel Visconde practices at 3115 Lewis Ave, Zion, IL 60099. The listed phone number is (847) 746-3752.
What is Mariel Visconde's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Mariel Visconde enrolled in Medicare?
Yes. Mariel Visconde is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mariel Visconde's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariel Visconde reassigns Medicare benefits to Center For Therapy And Wellness LLC (Island Lake, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariel Visconde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mariel Visconde was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.