Big Wishes Therapy Services

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070016561 Issued in IL

Legal business name

BIG WISHES THERAPY SERVICES

Practice address

14418 Iz Brook Dr
Homer Glen, IL 60491-5623

Phone

(708) 207-4790

NPI assigned

Jun 17, 2015

Last updated

Jun 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lyndsy M Galitsky, DPT

Title

Ceo

Phone

(708) 207-4790

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1023499779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14418 IZ BROOK DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604915623",
            "telephone_number": "708-207-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14418 IZ BROOK DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604915623",
            "telephone_number": "708-207-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG WISHES THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "GALITSKY",
        "authorized_official_first_name": "LYNDSY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-207-4790",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.