Active NPI
Muhibb Sadiq, DPT
- Orthopedic Physical Therapist
- Northfield, IL
National Provider Identifier
1023645553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070024307
- Practice address
- 193 Northfield Rd
Northfield, IL 60093-3309 - Phone
- (312) 970-9404
- Fax
- (949) 655-5898
- NPI assigned
- Mar 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 070.024307 | IL | |
| Orthopedic Physical Therapist | 2251X0800X | 070024307 | IL | Primary |
Addresses
Primary practice location
193 Northfield Rd
Northfield, IL 60093-3309
Mailing address
5736 Main St
Morton Grove, IL 60053-3473
Phone (847) 917-3928
Other practice location 1
355 E Erie St
Chicago, IL 60611-3167
Phone (312) 238-7441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210106001656 | IL | Practitioner - Physical Therapist in Private Practice | 3375956618 | Practice locations: Northfield, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070024307 | IL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Element Coaching, LLC | Current | Accepting new patients | |
| Element Performance & Physical Therapy LLC | Current | Accepting new patients |
Locations
193 Northfield Rd
Northfield, IL 60093
Phone (312) 970-9404
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Northfield, IL
- NPI 1346134418
-
- Physical Therapist
- Northfield, IL
- NPI 1659203024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1023645553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5736 MAIN ST",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600533473",
"telephone_number": "847-917-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 NORTHFIELD RD",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600933309",
"telephone_number": "312-970-9404",
"fax_number": "949-655-5898"
}
],
"practiceLocations": [
{
"address_1": "355 E Erie St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606113167",
"country_code": "US",
"telephone_number": "312-238-7441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SADIQ",
"first_name": "MUHIBB",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-25",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070.024307",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070024307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.