Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariel De Vera Visconde, RPT

Individual provider Physical Therapist · NPI 1629323696

Mariel De Vera Visconde, RPT is a Physical Therapist in Private Practice in Zion, Illinois. Qualified in 1999, 27 years ago. Practices with Center for Therapy and Wellness LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
27
Licensed in
IL
In the registry since
2012

Practice location Address checks out

3115 Lewis Ave
Zion, IL 60099-3099
Phone: (847) 746-3752
Fax: (847) 746-9144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070018847 (IL)

Record details

NPI number1629323696
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPT
Sole proprietorYes
NPI enumeratedJuly 16, 2012
Last updated in NPPESOctober 13, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Center For Therapy And Wellness Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Zion