Suburban Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SUBURBAN PHYSICAL THERAPY INC

Practice address

3239 S Grove Ave
Ste #100
Berwyn, IL 60402

Phone

(708) 637-5020

Fax

(708) 484-7446

NPI assigned

Feb 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Primitkumar P Shah, PHYSICAL THERAPIST

Title

President

Phone

(630) 605-2894

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Suburban PT, Inc.

  • Physical Therapy Assistant
  • Cicero, IL
  • NPI 1417294240

  O20050707000152

  Same enrollment

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Marie Ayotte, P.T.

  • Physical Therapist
  • Bartlett, IL
  • NPI 1720360100
  NPD (past)
• Michele Branka, MS PT

  • Physical Therapist
  • Bartlett, IL
  • NPI 1164773727
  NPD (past)
• Sonal Gandhi, PT

  • Physical Therapist
  • Elgin, IL
  • NPI 1235357393
  NPD (past)
• Jason Redeker, D.P.T.

  • Physical Therapist
  • Urbana, IL
  • NPI 1386897692
  NPD (past)
• Suhail Arunkumar, PT, CSCS

  • Physical Therapist
  • Denver, CO
  • NPI 1952035883
  NPD (past)
• Erin Heuck, PT, DPT

  • Physical Therapist
  • Saint Charles, MO
  • NPI 1538883277
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023144599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 INDIAN TRAIL RD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "60523",
            "telephone_number": "708-484-7886",
            "fax_number": "708-484-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3239 S GROVE AVE",
            "address_2": "STE #100",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "60402",
            "telephone_number": "708-637-5020",
            "fax_number": "708-484-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PRIMITKUMAR",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-605-2894",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "1632618",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367195244001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Strauss, MD
• Leroy Stromberg III, MD
• Patrick Suberlak, M.D.
• Subodh C Desai MD SC
• Suburban Otolaryngology,S.C.
• Suburban Urology Associates,LTD
• Karen Suggs, LSW
• Andrea Jo Swanson, MS QMHP
• Michael Szewczyk, PHARMD
• Saatema Tashan Tabb

• Physical Therapist in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.