Link Physical Therapy, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LINK PHYSICAL THERAPY, PC

Practice address

528 Kedzie St
Evanston, IL 60202-2306

Phone

(773) 791-5969

Fax

(847) 905-0218

NPI assigned

Sep 25, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suzanne Aceron Badillo, PTNPI 1639245301

Title

Owner

Phone

(847) 868-8396

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suzanne Aceron Badillo, P.T.

  • Physical Therapist
  • Evanston, IL
  • NPI 1639245301
  NPD Authorized official
• Erin McNulty, DPT

  • Physical Therapist
  • Evanston, IL
  • NPI 1306415112
  NPD (past)

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225547045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 KEDZIE ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022306",
            "telephone_number": "847-868-8396",
            "fax_number": "847-905-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 KEDZIE ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022306",
            "telephone_number": "773-791-5969",
            "fax_number": "847-905-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINK PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BADILLO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "ACERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-868-8396",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerold O'Neil Lind, PH.D.
• Paige Lindauer
• Daiva Lindisas, DC
• Tory Lindley, ATC
• Heather Nicole Lingner, PA-C
• Kelsea Linney, RN, IBCLC
• Linton Opticians, Inc.
• Lionize Community Wellness LLC
• Amanda Lipa, APN-CRNA
• Erin Lipin, LCSW

• Physical Therapy Clinic/Center in Evanston, IL
• Providers in Evanston, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.