Individual provider Active NPI

Jeffrey S Savage, PTA

  • Physical Therapy Assistant
  • Coal City, IL
National Provider Identifier
1255650545
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160001146 Issued in IL
Practice address
35 E Willow St
Suite a
Coal City, IL 60416-1867
Phone
(815) 634-3550
Fax
(815) 634-0236
NPI assigned
May 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160001146 IL Primary

Addresses

Primary practice location

35 E Willow St
Suite a
Coal City, IL 60416-1867

Mailing address

35 E Willow St
Suite a
Coal City, IL 60416-1867
Phone (815) 634-3550

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
160001146ILMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ther-a-Care Rehabilitation LTD Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1255650545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E WILLOW ST",
            "address_2": "SUITE A",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161867",
            "telephone_number": "815-634-3550",
            "fax_number": "815-634-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E WILLOW ST",
            "address_2": "SUITE A",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161867",
            "telephone_number": "815-634-3550",
            "fax_number": "815-634-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160001146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.