Active NPI
Marvin Bayle Luz, RPT
- Physical Therapist
- Joliet, IL
National Provider Identifier
1306086368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.016639
- Practice address
- 600 Theodore St
Suite 4
Joliet, IL 60435-2443 - Phone
- (815) 724-0835
- NPI assigned
- Mar 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.016639 | IL | Primary |
Addresses
Primary practice location
600 Theodore St
Suite 4
Joliet, IL 60435-2443
Mailing address
7929 Sawyer Rd
Darien, IL 60561-5225
Phone (630) 325-5960
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.016639 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pirie Chiropractic Center, LTD | Physical Therapist | Past | Accepting new patients |
| Universal Pain and Wellness PC | Physical Therapist | Past | Accepting new patients |
| Family Chiropractic Physicians, LTD. | Physical Therapist | Past | Accepting new patients |
| Optimum Therapy Services, Inc. | Physical Therapist | Past | Accepting new patients |
| Stroke Rehabilitation Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Burbank, IL
- NPI 1962645390
Physical Therapist
-
- Physical Therapy Clinic/Center
- Burbank, IL
- NPI 1386887776
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1306086368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7929 SAWYER RD",
"city": "DARIEN",
"state": "IL",
"postal_code": "605615225",
"telephone_number": "630-325-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 THEODORE ST",
"address_2": "SUITE 4",
"city": "JOLIET",
"state": "IL",
"postal_code": "604352443",
"telephone_number": "815-724-0835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUZ",
"first_name": "MARVIN",
"middle_name": "BAYLE",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.016639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.