Lockport Pain Management, LTD

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LOCKPORT PAIN MANAGEMENT, LTD

Practice address

400 Summit Dr
Lockport, IL 60441-3241

Phone

(815) 838-9441

NPI assigned

Feb 8, 2016

Organization subpart

No

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

Authorized official

Name

Timothy Radcliffe, D.C.NPI 1730233057

Title

Owner

Phone

(815) 838-9441

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Edward Radcliffe, D.C.

  • Chiropractor
  • Lockport, IL
  • NPI 1730233057
  NPD (past) Authorized official

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1114385986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SUMMIT DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413241",
            "telephone_number": "815-838-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SUMMIT DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413241",
            "telephone_number": "815-838-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKPORT PAIN MANAGEMENT, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "RADCLIFFE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-838-9441",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lockport Area SP Ed Coop
• Lockport Chiropractic Center LTD
• Lockport Dental Group, LTD
• Lockport Dialysis LLC (Lockport Home Dialysis)
• Lockport Express Medical Group, Inc. (Lockport Express Medical Group)
• Lockport Pharmacy Inc (Corwin Pharmacy)
• Lockport School District 91
• Lockport Township Fire Protection District
• Lockport Township High School Dist 205
• Muhammed Longi, M.D.

• Physical Therapist in Lockport, IL
• Providers in Lockport, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.