Active NPI
Thomas G. Mulvey , M.S., P.T., M.B.a., P.C.
- Physical Therapy Clinic/Center
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- THOMAS G. MULVEY , M.S., P.T., M.B.A., P.C.
- Practice address
- 4004 W 111TH St
Oak Lawn, IL 60453-5703 - Phone
- (708) 424-4025
- Fax
- (708) 424-4591
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Gerard Mulvey, MS PT MBA
- Title
- Owner
- Phone
- (708) 424-4025
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | ||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
4004 W 111TH St
Oak Lawn, IL 60453-5703
Mailing address
4004 W 111TH St
Oak Lawn, IL 60453-5703
Phone (708) 424-4025
Other names 1
- Athletex Physical Therapy
Medicare participation
Medicare enrollment files- 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.
-
- Physical Therapist
- Orland Park, IL
- NPI 1962629287
O20120425000721
National Provider Directory
National Provider Directory- Tax ID family
- Athletex Physical Thera
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Orland Park, IL
- NPI 1962629287
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Oak Lawn, IL
- NPI 1528285681
-
- Physical Therapist
- Orland Park, IL
- NPI 1164916334
-
- Physical Therapist
- Hometown, IL
- NPI 1558588624
-
- Orthopedic Physical Therapist
- Orland Park, IL
- NPI 1063649028
-
- Physical Therapist
- Hometown, IL
- NPI 1477724631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606176000000",
"number": "1043384761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 W 111TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604535703",
"telephone_number": "708-424-4025",
"fax_number": "708-424-4591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 W 111TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604535703",
"telephone_number": "708-424-4025",
"fax_number": "708-424-4591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS G. MULVEY , M.S., P.T., M.B.A., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A",
"authorized_official_last_name": "MULVEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "GERARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-424-4025",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS PT MBA"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Athletex Physical Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Athletex Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.