Therasys Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THERASYS CORPORATION

Practice address

6014 N Keystone Ave
Chicago, IL 60646-5210

Phone

(773) 583-4900

Fax

(773) 583-4987

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Kimberly Baugh

Title

Chief Financial Officer

Phone

(847) 797-1050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124177027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 NEWPORT DR",
            "address_2": "SUITE 401",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083832",
            "telephone_number": "847-797-1050",
            "fax_number": "847-797-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 N KEYSTONE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465210",
            "telephone_number": "773-583-4900",
            "fax_number": "773-583-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERASYS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUGH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "847-797-1050"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.