Scottsdale Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SCOTTSDALE PHYSICAL THERAPY

Doing business as

Andersen Physical Therapy

Practice address

1252 Winston PLZ
Physical Therapy Dept
Melrose Park, IL 60160-1507

Phone

(708) 343-2500

NPI assigned

Feb 8, 2008

Last updated

Feb 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jillian Marie Andersen, P.T.

Title

President

Phone

(480) 240-8841

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Andersen Physical Therapy Doing business as

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1124206461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W DELAWARE PL",
            "address_2": "UNIT 9B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108115",
            "telephone_number": "480-240-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 WINSTON PLZ",
            "address_2": "PHYSICAL THERAPY DEPT",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601507",
            "telephone_number": "708-343-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-240-8841",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01638362",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andersen Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Peter Schallack, MFA
• Darryl S. Schlegel, M.D.
• Svelt Schmoldt
• Stephanie J Schneeberger, MA, LCPC
• Pamela Sue Schwartz, CRNA
• Lin Sebaihi, DMD
• Jose Serrano
• Dana Susan Shabeeb, D.M.D
• Mayur V Shah, PHARM.D.
• Priti Mayur Shah, PHARM.D.

• Physical Therapist in Melrose Park, IL
• Providers in Melrose Park, 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, 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.

Verify at the official NPI Registry.