Active NPI
Therapy Plus PC
- Specialist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 070-010042
- Legal business name
- THERAPY PLUS PC
- Practice address
- 4733 N Damen Ave
Chicago, IL 60625-1442 - Phone
- (773) 743-4881
- Fax
- (773) 751-2878
- NPI assigned
- Aug 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Betty Carreno, LPT
- Title
- Owner
- Phone
- (773) 316-5305
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 070-010042 | IL | Primary |
Addresses
Primary practice location
4733 N Damen Ave
Chicago, IL 60625-1442
Mailing address
4733 N Damen Ave
Chicago, IL 60625-1442
Phone (773) 743-4881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 325782922001 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2734 N Milwaukee Ave
Ste 106
Chicago, IL 60647
Phone (773) 342-8401
1505 W Devon Ave
Chicago, IL 60660
Phone (773) 316-5305
2930 Mannheim Rd
Franklin Park, IL 60131
Phone (708) 798-0800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Chicago, IL
- NPI 1831251073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577664000000",
"number": "1285635532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4733 N DAMEN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606251442",
"telephone_number": "773-743-4881",
"fax_number": "773-751-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4733 N DAMEN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606251442",
"telephone_number": "773-743-4881",
"fax_number": "773-751-2878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY PLUS PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A",
"authorized_official_last_name": "CARRENO",
"authorized_official_first_name": "BETTY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-316-5305",
"authorized_official_credential": "LPT"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "IL",
"license": "070-010042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "325782922001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.