Theresa Marie McCollom, PTA
NPI 1366695405ActiveIndividual· Physical Therapy Assistant· Hazel Crest, IL
Physical Therapy Assistant (PTA) in Hazel Crest, Illinois, licensed in IL, with an NPI issued in November 2008.
Overview
| NPI | 1366695405 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | No |
| NPI issued | Nov 3, 2008 |
| Last updated in NPPES | Feb 26, 2022 |
| Certified by provider | Feb 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 160005041 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapy Assistant providers in Hazel Crest
- 1134186869
- 1932799319
- 1275222408
- 1790342004
- 1497361695
- 1447829940
- 1669578258
- 1073905170
- 1265328199
- 1497603542
- 1932744018
- 1346543782