Organization Active NPI

Access Care Therapeutics LLC

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1043744071
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070011407 Issued in IL
Legal business name
ACCESS CARE THERAPEUTICS LLC
Practice address
3647 W Foster Ave
Chicago, IL 60625-5527
Phone
(773) 715-4565
NPI assigned
Apr 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Mr. Michael Edquiban, PT
Title
President
Phone
(773) 805-2616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070011407 IL Primary

Addresses

Primary practice location

3647 W Foster Ave
Chicago, IL 60625-5527

Mailing address

3647 W Foster Ave
Chicago, IL 60625-5527
Phone (773) 715-4565

National Provider Directory

National Provider Directory

Locations

5795 N Lincoln Ave
Chicago, IL 60659
Phone (773) 564-9990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1043744071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3647 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255527",
            "telephone_number": "773-715-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255527",
            "telephone_number": "773-715-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS CARE THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "EDQUIBAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-805-2616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 17, 2017; 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.