Organization Active NPI

National Therapeutic Systems, Inc.

  • Physical Therapist
  • Brookfield, IL
National Provider Identifier
1265563597
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070002424 Issued in IL
Legal business name
NATIONAL THERAPEUTIC SYSTEMS, INC.
Practice address
9132 Ogden Ave
Brookfield, IL 60513-1943
Phone
(708) 562-0999
Fax
(708) 562-1934
NPI assigned
Mar 8, 2007
Last updated
Apr 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Robert G. IngrisanoNPI 1891819454
Title
President
Phone
(708) 562-0999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070002424 IL Primary

Addresses

Primary practice location

9132 Ogden Ave
Brookfield, IL 60513-1943

Mailing address

9132 Ogden Ave Apt 1
Brookfield, IL 60513-2941
Phone (708) 562-0999

Other identifiers 2

IdentifierTypeStateIssuer
131415300OtherILUS DEPARTMENT OF LABOR
1617848OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060503000187 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7517977721 Receives reassigned benefits from 1 practitioner
Practice locations: Brookfield, IL

National Provider Directory

National Provider Directory
Tax ID family
National Therapeutic Systems2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

353 E Burlington St
Riverside, IL 60546
Phone (708) 442-6006

Practitioners & affiliated clinicians

Practitioners 2

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1265563597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9132 OGDEN AVE APT 1",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605132941",
            "telephone_number": "708-562-0999",
            "fax_number": "708-562-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9132 OGDEN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131943",
            "telephone_number": "708-562-0999",
            "fax_number": "708-562-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL THERAPEUTIC SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "INGRISANO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-562-0999"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070002424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "131415300",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1617848",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.