Active NPI
Michael Daniel Egan, ATC
- Physical Therapist
- Arlington Heights, IL
National Provider Identifier
1194269092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5751-24
- Practice address
- 2126 N Illinois Ave
Arlington Heights, IL 60004-2842 - Phone
- (847) 275-4580
- NPI assigned
- Dec 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5751-24 | WI | Primary |
Addresses
Primary practice location
2126 N Illinois Ave
Arlington Heights, IL 60004-2842
Mailing address
2126 N Illinois Ave
Arlington Heights, IL 60004-2842
Phone (847) 275-4580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5751-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1194269092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2126 N ILLINOIS AVE",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600042842",
"telephone_number": "847-275-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 N ILLINOIS AVE",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600042842",
"telephone_number": "847-275-4580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "MICHAEL",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-12",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "5751-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.