Active NPI
Mary Therese Sycip, PT
- Contractor
- Burr Ridge, IL
National Provider Identifier
1023132040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 070015183
- Practice address
- 10S438 Carrington Cir
Burr Ridge, IL 60527-6945 - Phone
- (630) 272-5231
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 070015183 | IL | Primary |
Addresses
Primary practice location
10S438 Carrington Cir
Burr Ridge, IL 60527-6945
Mailing address
10S438 Carrington Cir
Burr Ridge, IL 60527-6945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070015183 | IL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1023132040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10S438 CARRINGTON CIR",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10S438 CARRINGTON CIR",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276945",
"telephone_number": "630-272-5231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYCIP",
"first_name": "MARY THERESE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IL",
"license": "070015183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.