Active NPI
Complex Therapy, LTD
- Physical Therapy Clinic/Center
- Algonquin, IL
National Provider Identifier
1184879538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 070.010895
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Tryba, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01627658 | Other | IL | BC/BS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Algonquin, IL
- NPI 1720233174
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.