Active NPI
Sally Ann McNamara, P.T.
- Physical Therapist
- Niles, IL
National Provider Identifier
1215221890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 70-1629
- Practice address
- 7000 N Newark Ave
Niles, IL 60714-4577 - Phone
- (847) 647-6620
- NPI assigned
- Jun 1, 2011
- Last updated
- Jun 1, 2011
- Sex
- Female
- 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 | 70-1629 | IL | Primary |
Addresses
Primary practice location
7000 N Newark Ave
Niles, IL 60714-4577
Mailing address
1813 E Hopi LN
Mount Prospect, IL 60056-1917
Phone (847) 296-7643
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 |
|---|---|---|---|
| 70-1629 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1215221890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 E HOPI LN",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600561917",
"telephone_number": "847-296-7643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 N NEWARK AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607144577",
"telephone_number": "847-647-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMARA",
"first_name": "SALLY",
"middle_name": "ANN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-01",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "70-1629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.