NPIMap

Organization Active NPI

Empower Physical Therapy, S.C.

  • Physical Therapist
  • Romeoville, IL
National Provider Identifier
1154652402
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-008577 Issued in IL
Legal business name
EMPOWER PHYSICAL THERAPY, S.C.
Practice address
448 A North Weber Road
Romeoville, IL 60446-5354
Phone
(815) 293-3740
Fax
(815) 293-3742
NPI assigned
Jan 27, 2010
Last updated
Feb 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Authorized official

Name
Mr. Edward Anthony O'Malley Jr., MPTNPI 1861425761
Title
President
Phone
(815) 293-3740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070-008577 IL Primary

Addresses

Primary practice location

448 A North Weber Road
Romeoville, IL 60446-5354

Mailing address

448 A North Weber Road
Romeoville, IL 60446-5354
Phone (815) 293-3740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100607000360 IL Part B Supplier - Clinic/Group Practice 5799815494 Receives reassigned benefits from 2 practitioners
Practice locations: Romeoville, IL

National Provider Directory

National Provider Directory

Locations

197 W Romeo Rd
Romeoville, IL 60446
Phone (815) 293-3233

448 N Weber Rd
Romeoville, IL 60446

Practitioners & affiliated clinicians

Practitioners 4

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": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1154652402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 A NORTH WEBER ROAD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465354",
            "telephone_number": "815-293-3740",
            "fax_number": "815-293-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 A NORTH WEBER ROAD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465354",
            "telephone_number": "815-293-3740",
            "fax_number": "815-293-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER PHYSICAL THERAPY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "O'MALLEY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-293-3740",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-008577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.