Active NPI
Access Care Therapeutics LLC
- Physical Therapist
- Chicago, IL
National Provider Identifier
1043744071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070011407
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.
-
- Physical Therapist
- Chicago, IL
- NPI 1770520611
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.