NPIMap

Organization Active NPI

Given Sports & Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Crystal Lake, IL
National Provider Identifier
1053506451
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GIVEN SPORTS & PHYSICAL THERAPY, P.C.
Practice address
540 E Terra Cotta Ave
Suite G
Crystal Lake, IL 60014-3652
Phone
(815) 477-8004
Fax
(815) 477-8005
NPI assigned
Sep 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Mr. Gregory Earl Given, PT, MHS, SCS, ATC
Title
President
Phone
(815) 477-8004

Specialties & licenses 1

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

Addresses

Primary practice location

540 E Terra Cotta Ave
Suite G
Crystal Lake, IL 60014-3652

Mailing address

540 E Terra Cotta Ave
Suite G
Crystal Lake, IL 60014-3652
Phone (815) 477-8004

Other identifiers 1

IdentifierTypeStateIssuer
215872OtherILPTAN

National Provider Directory

National Provider Directory

Locations

407 E Terra Cotta Ave
Crystal Lake, IL 60014
Phone (847) 766-0011

540 E Terra Cotta Ave
Ste G
Crystal Lake, IL 60014
Phone (815) 477-8004

407 E Terra Cotta Ave
Ste E
Crystal Lake, IL 60014
Phone (815) 477-8004

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1053506451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E TERRA COTTA AVE",
            "address_2": "SUITE G",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143652",
            "telephone_number": "815-477-8004",
            "fax_number": "815-477-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E TERRA COTTA AVE",
            "address_2": "SUITE G",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143652",
            "telephone_number": "815-477-8004",
            "fax_number": "815-477-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIVEN SPORTS & PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "GIVEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-477-8004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MHS, SCS, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "215872",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.