Organization Active NPI

Frankfort Physical Therapy, Inc.

  • Physical Therapist
  • Frankfort, IL
National Provider Identifier
1265599534
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FRANKFORT PHYSICAL THERAPY, INC.
Practice address
7777 W Lincoln Hwy
Suite D
Frankfort, IL 60423-9490
Phone
(815) 806-0777
Fax
(815) 806-0722
NPI assigned
Jan 3, 2007
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
Mr. Daniel A. Ryba, PHYSICAL THERAPISTNPI 1053499053
Title
Owner
Phone
(815) 806-0777

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 IL Primary

Addresses

Primary practice location

7777 W Lincoln Hwy
Suite D
Frankfort, IL 60423-9490

Mailing address

7777 W Lincoln Hwy
Suite D
Frankfort, IL 60423-9490
Phone (815) 806-0777

Other identifiers 2

IdentifierTypeStateIssuer
09932068OtherILBLUE CROSS BLUE SHIELD
349727969001MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111114000082 IL Part B Supplier - Clinic/Group Practice 1052585866 Receives reassigned benefits from 2 practitioners
Practice locations: Frankfort, IL

National Provider Directory

National Provider Directory

Locations

7777 W Lincoln Hwy
Frankfort, IL 60423
Phone (815) 806-0777

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265599534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 W LINCOLN HWY",
            "address_2": "SUITE D",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239490",
            "telephone_number": "815-806-0777",
            "fax_number": "815-806-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 W LINCOLN HWY",
            "address_2": "SUITE D",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239490",
            "telephone_number": "815-806-0777",
            "fax_number": "815-806-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKFORT PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYBA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-806-0777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09932068",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349727969001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, 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.
  • 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.