Individual provider Active NPI

Richard Edward Ueberfluss, PT

  • Orthopedic Physical Therapist
  • Naperville, IL
National Provider Identifier
1306075577
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070006521 Issued in IL
Practice address
24W500 Maple Ave
Suite 208
Naperville, IL 60540-6055
Phone
(630) 305-9100
NPI assigned
Jul 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 070006521 IL Primary

Addresses

Primary practice location

24W500 Maple Ave
Suite 208
Naperville, IL 60540-6055

Mailing address

135 Sulphur Lane
Paris, IL 61944-6599
Phone (217) 822-7687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070006521ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress PT Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1306075577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SULPHUR LANE",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619446599",
            "telephone_number": "217-822-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24W500 MAPLE AVE",
            "address_2": "SUITE 208",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406055",
            "telephone_number": "630-305-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UEBERFLUSS",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070006521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.