Active NPI
Daryl K Massey, PT, MPT
- Physical Therapist
- Elk Grove Village, IL
National Provider Identifier
1255401311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1544 Nerge Rd
Elk Grove Village, IL 60007-3673 - Phone
- (847) 923-0046
- Fax
- (847) 923-0047
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
1544 Nerge Rd
Elk Grove Village, IL 60007-3673
Mailing address
1544 Nerge Rd
Elk Grove Village, IL 60007-3673
Phone (847) 923-0046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01635922 | Other | IL | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070013482 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alt-Med Research Group | Current | Accepting new patients |
Locations
473 W Army Trail Rd
Ste 101
Bloomingdale, IL 60108
Phone (630) 894-8018
1544 Nerge Rd
Elk Grove Vlg, IL 60007
Phone (847) 923-0046
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba ALT-MED Medical and Physical Therapy
- Physical Medicine & Rehabilitation Physician
- Elk Grove Village, IL
- NPI 1841360989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1255401311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1544 NERGE RD",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073673",
"telephone_number": "847-923-0046",
"fax_number": "847-923-0047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 NERGE RD",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073673",
"telephone_number": "847-923-0046",
"fax_number": "847-923-0047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "DARYL",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "PT, MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01635922",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.