NPIMap

Organization Active NPI

Milder and Associates

  • Physical Therapy Clinic/Center
  • Bartlett, IL
National Provider Identifier
1063539005
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MILDER AND ASSOCIATES
Practice address
700 S Bartlett Rd
Bartlett, IL 60103-4607
Phone
(630) 483-7601
Fax
(630) 483-7801
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Mr. James C. Milder, P.T.NPI 1174694624
Title
Owner
Phone
(630) 665-6810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

700 S Bartlett Rd
Bartlett, IL 60103-4607

Mailing address

25W560 Geneva Rd
Suite 4
Carol Stream, IL 60188-2233
Phone (630) 665-6810

Other identifiers 1

IdentifierTypeStateIssuer
0001683314OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Bartlett Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

25W560 Geneva Rd
Ste 4
Carol Stream, IL 60188

Practitioners & affiliated clinicians

Practitioners 4

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1063539005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25W560 GENEVA RD",
            "address_2": "SUITE 4",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882233",
            "telephone_number": "630-665-6810",
            "fax_number": "630-665-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S BARTLETT RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034607",
            "telephone_number": "630-483-7601",
            "fax_number": "630-483-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILDER AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "MILDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-665-6810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001683314",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bartlett Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.