NPIMap

Organization Active NPI

Maldonado & O'Connell

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1043612427
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070021030 Issued in IL
Legal business name
MALDONADO & O'CONNELL
Doing business as
Elite Physical Therapy
Practice address
1921 S Michigan Ave
Chicago, IL 60616-1603
Phone
(312) 328-9220
Fax
(312) 328-9970
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Mr. Luis Maldonado, P.T.
Title
Facility Manager
Phone
(312) 328-9220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 070021030 IL Primary

Addresses

Primary practice location

1921 S Michigan Ave
Chicago, IL 60616-1603

Mailing address

1921 S Michigan Ave
Chicago, IL 60616-1603
Phone (312) 328-9220

Other names 1

  • Elite Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elite Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1043612427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161603",
            "telephone_number": "312-328-9220",
            "fax_number": "312-328-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161603",
            "telephone_number": "312-328-9220",
            "fax_number": "312-328-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALDONADO & O'CONNELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "312-328-9220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070021030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.