Active NPI
Southwest Physical Therapy and Rehabilitation, LTD
- Physical Therapist
- Tinley Park, IL
National Provider Identifier
1124143177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 060005170
- Legal business name
- SOUTHWEST PHYSICAL THERAPY AND REHABILITATION, LTD
- Practice address
- 18210 La Grange Rd
Suite 100
Tinley Park, IL 60477-7722 - Phone
- (708) 478-7177
- Fax
- (708) 478-7377
- NPI assigned
- Mar 20, 2007
- Last updated
- Apr 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen M Vail, DPT
- Title
- Physical Therapist
- Phone
- (708) 499-4497
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 060005170 | IL | Primary |
Addresses
Primary practice location
18210 La Grange Rd
Suite 100
Tinley Park, IL 60477-7722
Mailing address
18210 La Grange Rd
Suite 100
Tinley Park, IL 60477-7722
Phone (708) 478-7177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01618548 | Other | IL | BCBS PROVIDER NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Southwest Physical Therapy and Rehabiliation LTD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Morris, IL
- NPI 1386828267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209513600000",
"number": "1124143177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18210 LA GRANGE RD",
"address_2": "SUITE 100",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604777722",
"telephone_number": "708-478-7177",
"fax_number": "708-478-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18210 LA GRANGE RD",
"address_2": "SUITE 100",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604777722",
"telephone_number": "708-478-7177",
"fax_number": "708-478-7377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST PHYSICAL THERAPY AND REHABILITATION, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2008-04-30",
"status": "A",
"authorized_official_last_name": "VAIL",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "708-499-4497",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "060005170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "01618548",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tinley Park, IL
- Southside Christian Counseling Center
- Southside Counseling Services, LLC
- Southtown Allergy and Asthma Care, PC
- Southwest Community Services, Inc
- Southwest Community Services, Inc.
- Southwest Sports & Spinal Rehab Inc
- Southwest Surgical Excellence
- Travis J Spagnola
- Special Care Nurses of America, LLC
- Specialty Needs Transportation, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.