NPIMap

Organization Active NPI

Medimassage LLC

  • Rehabilitation Clinic/Center
  • Lombard, IL
National Provider Identifier
1194468280
Registry record updated Jul 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MEDIMASSAGE LLC
Practice address
1910 S. Highland Ave. Unit 260
Lombard, IL 60148
Phone
(630) 776-3043
Fax
(630) 929-1390
NPI assigned
Apr 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2023

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

Authorized official

Name
Mrs. Liliana Jasmine Silva I, CMT, PTANPI 1720839038
Title
Owner/ Clinic Director
Phone
(708) 759-7903

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1910 S. Highland Ave. Unit 260
Lombard, IL 60148

Mailing address

1910 S. Highland Ave. Unit 260
Lombard, IL 60148
Phone (630) 776-3043

Other practice location 1

1910 S Highland Ave. Unit 260
Lombard, IL 60148
Phone (708) 759-7903

National Provider Directory

National Provider Directory

Locations

1910 S Highland Ave
Ste 260
Lombard, IL 60148
Phone (630) 776-3043

305 S Westmore Ave
Lombard, IL 60148

Practitioners & affiliated clinicians

Practitioners 6

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": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690588800000",
    "number": "1194468280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S. HIGHLAND AVE. UNIT 260",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "60148",
            "telephone_number": "630-776-3043",
            "fax_number": "630-929-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S. HIGHLAND AVE. UNIT 260",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "60148",
            "telephone_number": "630-776-3043",
            "fax_number": "630-929-1390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 S Highland Ave. Unit 260",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "60148",
            "country_code": "US",
            "telephone_number": "708-759-7903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDIMASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2023-07-29",
        "certification_date": "2023-07-29",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_middle_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER/ CLINIC DIRECTOR",
        "authorized_official_telephone_number": "708-759-7903",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "CMT, PTA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2023; 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.