Unlimited Mobility Therapy, Inc

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

UNLIMITED MOBILITY THERAPY, INC

Practice address

18430 Governors Hwy
Homewood, IL 60430-2911

Phone

(708) 799-5569

Fax

(708) 799-5618

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Amber Danielle Brim, P.T.

Title

Owner

Phone

(708) 799-5569

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Ashley Ferrell, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1427483924
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1194873935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18428 GOVERNORS HWY",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302911",
            "telephone_number": "708-799-5569",
            "fax_number": "708-799-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18430 GOVERNORS HWY",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302911",
            "telephone_number": "708-799-5569",
            "fax_number": "708-799-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED MOBILITY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "BRIM",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-799-5569",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346802184001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "01635359",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Tse
• Tyrone Daniels
• Imaobong Patrick Udonkang, NP
• United Home Health Services of Cook County, Inc.
• University Dental Associates
• Venkata Subba Rao Uppuluri, M.D.
• Dayna L. Upton, MASTER DEGREE
• Amy P Urban, OTRL
• Uropartners, LLC
• Jean Terese Vandersanden, P.T.

• All providers in Homewood, IL
• Pediatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.