Organization Active NPI

Deerfield Physical Therapy, LTD

  • Physical Therapist
  • Deerfield, IL
National Provider Identifier
1275079501
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070009749 Issued in IL
Legal business name
DEERFIELD PHYSICAL THERAPY, LTD
Practice address
707 Lake Cook Rd Ste 120
Deerfield, IL 60015-4909
Phone
(847) 509-0600
Fax
(847) 580-1215
NPI assigned
Jan 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Halina B Dorman, P.T.
Title
President
Phone
(847) 877-1207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070009749 IL Primary

Addresses

Primary practice location

707 Lake Cook Rd Ste 120
Deerfield, IL 60015-4909

Mailing address

707 Lake Cook Rd
Suite 120
Deerfield, IL 60015-5613
Phone (847) 509-0600

National Provider Directory

National Provider Directory

Locations

707 Lake Cook Rd
Ste 120
Deerfield, IL 60015
Phone (847) 509-0600

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1275079501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 LAKE COOK RD",
            "address_2": "SUITE 120",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155613",
            "telephone_number": "847-509-0600",
            "fax_number": "847-580-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LAKE COOK RD STE 120",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154909",
            "telephone_number": "847-509-0600",
            "fax_number": "847-580-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD PHYSICAL THERAPY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "DORMAN",
        "authorized_official_first_name": "HALINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-877-1207",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070009749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.