NPIMap

Organization Active NPI

Physiotherapy Associates

  • Rehabilitation Clinic/Center
  • Oak Park, IL
National Provider Identifier
1124194022
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PHYSIOTHERAPY ASSOCIATES
Practice address
610 S Maple Ave Ste 3400
Oak Park, IL 60304-1094
Phone
(708) 660-5880
Fax
(708) 660-5886
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert W Zigenfus Jr.
Title
Manager of Payor Contracting
Phone
(901) 685-7227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

610 S Maple Ave Ste 3400
Oak Park, IL 60304-1094

Mailing address

610 S Maple Ave Ste 3400
Oak Park, IL 60304-1094
Phone (708) 660-5880

Other identifiers 1

IdentifierTypeStateIssuer
01636250OtherILBCBS OF IL

Other names 1

  • The Pediatric Place Other name

National Provider Directory

National Provider Directory
Tax ID family
Physiotherapy Assoc Spo300 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124194022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE STE 3400",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041094",
            "telephone_number": "708-660-5880",
            "fax_number": "708-660-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE STE 3400",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041094",
            "telephone_number": "708-660-5880",
            "fax_number": "708-660-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIGENFUS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER OF PAYOR CONTRACTING",
        "authorized_official_telephone_number": "901-685-7227",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "01636250",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pediatric Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • 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.