MARIEL DE VERA VISCONDE RPT
NPI 1629323696
Physical Therapist in Zion, IL

Active since July 16, 2012
3115 LEWIS AVE, ZION, IL 60099(847) 746-3752(847) 746-9144 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1629323696
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMARIEL DE VERA VISCONDECredential: RPT
Location Address3115 LEWIS AVEZion, IL 60099-3099
Mailing Address100 E Irving Park RdRoselle, IL 60172-2048 · (630) 439-0009 · Fax (630) 439-0011
Fax(847) 746-9144
Sole ProprietorYes
Enumeration DateJuly 16, 2012
Last NPPES UpdateOctober 13, 2014
✔ NPI 1629323696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in IL · 070018847
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3115 LEWIS AVE, Zion, IL 60099

Other Identifiers 2

Medicare PINF400167510IL
Medicare PINF400167423IL

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.

Physical Therapist
3907 WOOD CREEK DR
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.

Dentist
3115 LEWIS AVE
ZION, IL 60099
Family Medicine
3115 LEWIS AVE
ZION, IL 60099
Dentist (General Practice)
3115 LEWIS AVE
ZION, IL 60099
Dentist (General Practice)
3115 LEWIS AVE
ZION, IL 60099
Family Medicine
3115 LEWIS AVE
ZION, IL 60099
Dentist (General Practice)
3115 LEWIS AVE
ZION, IL 60099
Physical Therapist
3115 LEWIS AVE
ZION, IL 60099
Internal Medicine
3115 LEWIS AVE
ZION, IL 60099

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.