NPIMap

Organization Active NPI

Victory Ambulatory Services

  • Physical Therapy Clinic/Center
  • Lindenhurst, IL
National Provider Identifier
1245280213
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
7002322 Issued in IL
Legal business name
VICTORY AMBULATORY SERVICES
Practice address
1050 Red Oak LN
Lindenhurst, IL 60046-4998
Phone
(847) 356-4700
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barbara J. Martin
Title
President and Ceo
Phone
(847) 360-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 7002322 IL Primary

Addresses

Primary practice location

1050 Red Oak LN
Lindenhurst, IL 60046-4998

Mailing address

1050 Red Oak LN
Lindenhurst, IL 60046-4998

Other names 1

  • The Vista Surgery and Treatment Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245280213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 RED OAK LN",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600464998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 RED OAK LN",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600464998",
            "telephone_number": "847-356-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY AMBULATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "847-360-3000"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "7002322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vista Surgery and Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lindenhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.