Active NPI
Liz Maliakal
- Physical Therapist
- Northbrook, IL
National Provider Identifier
1053822619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070013050
- Practice address
- 1000 Sunset Ridge Rd
Northbrook, IL 60062-4008 - Phone
- (224) 432-9015
- NPI assigned
- Oct 23, 2017
- Last updated
- Oct 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070013050 | IL | Primary |
Addresses
Primary practice location
1000 Sunset Ridge Rd
Northbrook, IL 60062-4008
Mailing address
600 Naples CT Apt 109
Glenview, IL 60025-3863
Phone (224) 432-9015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070013050 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
Locations
2155 W Pierce Ave
Chicago, IL 60622
Phone (773) 252-2066
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
-
dba Powerback Rehabilitation
- Physical Therapist
- O'Fallon, IL
- NPI 1982018362
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
-
dba Powerback Rehabilitation
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508716800000",
"number": "1053822619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 NAPLES CT APT 109",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600253863",
"telephone_number": "224-432-9015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SUNSET RIDGE RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624008",
"telephone_number": "224-432-9015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIAKAL",
"first_name": "LIZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2017-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070013050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.