NPIMap

Organization Active NPI

Midwest Physical Therapy Ctr

  • Physical Therapy Clinic/Center
  • Melrose Park, IL
National Provider Identifier
1265576441
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MIDWEST PHYSICAL THERAPY CTR
Practice address
1440 W North Ave
Suite 202
Melrose Park, IL 60160-1422
Phone
(708) 865-8600
Fax
(708) 865-8661
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Devinder Deol
Title
Practice Administrator
Phone
(630) 285-8007

Specialties & licenses 1

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

Addresses

Primary practice location

1440 W North Ave
Suite 202
Melrose Park, IL 60160-1422

Mailing address

1000 E State Pkwy
Suite E
Schaumburg, IL 60173-4569
Phone (630) 285-8007

Other identifiers 1

IdentifierTypeStateIssuer
01621171OtherILBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Midwest Physical Therapy Ctr13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

1440 W North Ave
Ste 202
Melrose Park, IL 60160
Phone (708) 865-8600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1265576441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E STATE PKWY",
            "address_2": "SUITE E",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734569",
            "telephone_number": "630-285-8007",
            "fax_number": "630-285-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W NORTH AVE",
            "address_2": "SUITE 202",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601422",
            "telephone_number": "708-865-8600",
            "fax_number": "708-865-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PHYSICAL THERAPY CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "DEOL",
        "authorized_official_first_name": "DEVINDER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "630-285-8007"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "01621171",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.