Organization Active NPI

Center for Therapy and Wellness LLC

  • Physical Therapist
  • Island Lake, IL
National Provider Identifier
1114785649
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CENTER FOR THERAPY AND WELLNESS LLC
Practice address
3907 Wood Creek Dr
Island Lake, IL 60042-9656
Phone
(630) 550-0898
NPI assigned
Mar 11, 2024
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Mr. Kenneth See Howe Ong
Title
Owner
Phone
(630) 550-0898

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

3907 Wood Creek Dr
Island Lake, IL 60042-9656

Mailing address

3907 Wood Creek Dr
Island Lake, IL 60042-9656
Phone (630) 550-0898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240711003994 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6002351202 Receives reassigned benefits from 5 practitioners
Practice locations: Island Lake, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1114785649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 WOOD CREEK DR",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600429656",
            "telephone_number": "630-550-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 WOOD CREEK DR",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600429656",
            "telephone_number": "630-550-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SEE HOWE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-550-0898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Island Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.

Verify at the official NPI Registry.