NPIMap

Organization Active NPI

Pentafil Physical Therapy Services

  • Physical Therapy Clinic/Center
  • Naperville, IL
National Provider Identifier
1194998310
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PENTAFIL PHYSICAL THERAPY SERVICES
Practice address
790 Royal Saint George Dr
Ste. 105
Naperville, IL 60563-8955
Phone
(630) 527-6370
Fax
(630) 527-6374
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Miss Olymphia Roldan Tesoro, PTNPI 1083880322
Title
President
Phone
(630) 527-6370

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 IL Primary

Addresses

Primary practice location

790 Royal Saint George Dr
Ste. 105
Naperville, IL 60563-8955

Mailing address

790 Royal Saint George Dr
Ste. 105
Naperville, IL 60563-8955
Phone (630) 527-6370

National Provider Directory

National Provider Directory

Locations

790 Royal Saint George Dr
Ste 105
Naperville, IL 60563
Phone (630) 527-6370

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": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1194998310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 ROYAL SAINT GEORGE DR",
            "address_2": "STE. 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638955",
            "telephone_number": "630-527-6370",
            "fax_number": "630-527-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 ROYAL SAINT GEORGE DR",
            "address_2": "STE. 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638955",
            "telephone_number": "630-527-6370",
            "fax_number": "630-527-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTAFIL PHYSICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "TESORO",
        "authorized_official_first_name": "OLYMPHIA",
        "authorized_official_middle_name": "ROLDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-527-6370",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.