Individual provider Active NPI

Muhibb Sadiq, DPT

  • Orthopedic Physical Therapist
  • Northfield, IL
National Provider Identifier
1023645553
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070024307 Issued in IL
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

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
070024307ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Element Coaching, LLC Current Accepting new patients
Element Performance & Physical Therapy LLC CurrentSince Mar 29, 2020 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.

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.

Verify at the official NPI Registry.