Traci Heller Physical Therapy Group

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070005430 Issued in IL

Legal business name

TRACI HELLER PHYSICAL THERAPY GROUP

Practice address

1200 Old Skokie Valley Rd
Highland Park, IL 60035-3036

Phone

(847) 989-3749

NPI assigned

Jun 29, 2015

Organization subpart

No

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

Authorized official

Name

Adam Millstein

Title

Manager

Phone

(847) 770-6051

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1265814032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SOMERSET HILLS CT",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD SKOKIE VALLEY RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353036",
            "telephone_number": "847-989-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACI HELLER PHYSICAL THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "MILLSTEIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-770-6051"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070005430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ximena Maria Torres, PSY.D
• Total Rehab Therapy LLC
• Steven Michael Tovian, PH.D.
• Township High School District 113
• Mark J Trabado, CRNA
• Tracy Trauscht, LCSW
• Daniel Scott Tresley, MD
• Kristine Marie Trester, AU.D.
• Raisa Triplitt, APN-CNP
• Ashley E. Trotter, MD

• Physical Therapist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.