IndividualActive
Lisa Heswall, PTA
NPI 1972550705 · Physical Therapy Assistant · Bannockburn, IL
Provider details
- NPI number
- 1972550705
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2101 Waukegan Rd
Suite 110
Bannockburn, IL 60015-1836
Phone: (847) 914-0544
Street-level locationGet directions
Mailing address
8930 Waukegan Rd
Morton Grove, IL 60053-2126
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.