My Pelvic Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MY PELVIC THERAPY, PLLC

Practice address

249 N Lincoln Ave
Park Ridge, IL 60068-3121

Phone

(224) 255-7678

Fax

(224) 985-2038

NPI assigned

Oct 5, 2022

Last updated

Oct 5, 2022By 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

Angela Fishman, PTNPI 1902117658

Title

Manager and Physical Therapist

Phone

(224) 255-7678

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Angela Fishman, PT

  • Physical Therapist
  • Park Ridge, IL
  • NPI 1902117658
  NPD Authorized official

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1184349995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 N LINCOLN AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683121",
            "telephone_number": "224-255-7678",
            "fax_number": "224-985-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 N LINCOLN AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683121",
            "telephone_number": "224-255-7678",
            "fax_number": "224-985-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PELVIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGER AND PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "224-255-7678",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick J Murphy, MD
• Alexis G Murray-Golay, LCPC
• Pavan Vabilisetti Murty, MD
• Sharmeen Mustafa, DO
• My Journii Counseling, LLC
• Myeyedr Optometry of Illinois, LLC (MyEyeDr)
• Lucas Myint, MD
• Alexander Mylonas, PSY.D.
• Moonis Nadeem, D.O
• Mojtaba Nadiri, M.D.

• Physical Therapy Clinic/Center in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.