NPIMap

Organization Active NPI

Praxis Physical Therapy and Human Performance PC

  • Physical Therapist
  • Vernon Hills, IL
National Provider Identifier
1235240037
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PRAXIS PHYSICAL THERAPY AND HUMAN PERFORMANCE PC
Practice address
935 Lakeview Parkway
Suite 195
Vernon Hills, IL 60061
Phone
(847) 247-7200
Fax
(847) 247-4340
NPI assigned
Aug 31, 2006
Last updated
Feb 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Dr. Michael E Kordecki, DPT SCS ATCNPI 1255442950
Title
Managing Partner
Phone
(847) 247-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

935 Lakeview Parkway
Suite 195
Vernon Hills, IL 60061

Mailing address

935 Lakeview Parkway
Suite 195
Vernon Hills, IL 60061
Phone (847) 247-7200

Other identifiers 1

IdentifierTypeStateIssuer
4932356OtherBCBS

National Provider Directory

National Provider Directory

Locations

935 Lakeview Pkwy
Vernon Hills, IL 60061

935 Lakeview Pkwy
Ste 19
Vernon Hills, IL 60061
Phone (847) 247-7200

935 Lakeview Pkwy
Ste 195
Vernon Hills, IL 60061
Phone (847) 247-7200

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1235240037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 LAKEVIEW PARKWAY",
            "address_2": "SUITE 195",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60061",
            "telephone_number": "847-247-7200",
            "fax_number": "847-247-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 LAKEVIEW PARKWAY",
            "address_2": "SUITE 195",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60061",
            "telephone_number": "847-247-7200",
            "fax_number": "847-247-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAXIS PHYSICAL THERAPY AND HUMAN PERFORMANCE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "KORDECKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "847-247-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT SCS ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4932356",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.