NPIMap

Organization Active NPI

Perfect Performance Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Crystal Lake, IL
National Provider Identifier
1235427535
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070018590 Issued in IL
Legal business name
PERFECT PERFORMANCE PHYSICAL THERAPY INC
Practice address
930 Pyott Rd
Suite 102
Crystal Lake, IL 60014-8720
Phone
(847) 854-4889
Fax
(847) 854-4890
NPI assigned
Jul 20, 2011
Last updated
Jul 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Gretchen Graham, PTNPI 1336330208
Title
Owner
Phone
(847) 854-4889

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 Therapy Clinic/Center 261QP2000X 070018590 IL Primary

Addresses

Primary practice location

930 Pyott Rd
Suite 102
Crystal Lake, IL 60014-8720

Mailing address

930 Pyott Rd
Suite 102
Crystal Lake, IL 60014-8720
Phone (847) 854-4889

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1235427535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 PYOTT RD",
            "address_2": "SUITE 102",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148720",
            "telephone_number": "847-854-4889",
            "fax_number": "847-854-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 PYOTT RD",
            "address_2": "SUITE 102",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148720",
            "telephone_number": "847-854-4889",
            "fax_number": "847-854-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT PERFORMANCE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-854-4889",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070018590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.