Organization Active NPI

Complex Therapy, LTD

  • Physical Therapy Clinic/Center
  • Algonquin, IL
National Provider Identifier
1184879538
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070.010895 Issued in IL
Legal business name
COMPLEX THERAPY, LTD
Practice address
105 N Hubbard St
Algonquin, IL 60102-2459
Phone
(630) 439-5445
Fax
(224) 333-0589
NPI assigned
Nov 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Robert Tryba, PTNPI 1720233174
Title
President
Phone
(630) 439-5445

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 Therapy Clinic/Center 261QP2000X 070.010895 IL Primary

Addresses

Primary practice location

105 N Hubbard St
Algonquin, IL 60102-2459

Mailing address

105 N Hubbard St
Algonquin, IL 60102-2459
Phone (630) 439-5445

Other identifiers 1

IdentifierTypeStateIssuer
01627658OtherILBC/BS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1184879538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N HUBBARD ST",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601022459",
            "telephone_number": "630-439-5445",
            "fax_number": "224-333-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N HUBBARD ST",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601022459",
            "telephone_number": "630-439-5445",
            "fax_number": "224-333-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEX THERAPY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "TRYBA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-439-5445",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070.010895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "01627658",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.