Organization Active NPI

Forest Hills Physical Therapy and Rehab Inc

  • Physical Therapist
  • Franklin Park, IL
National Provider Identifier
1316088651
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FOREST HILLS PHYSICAL THERAPY AND REHAB INC
Practice address
3545 Rose St
Franklin Park, IL 60131-2068
Phone
(708) 229-9828
Fax
(708) 422-0914
NPI assigned
Feb 9, 2007
Last updated
Oct 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Mashkoor Ali Khan, P.T
Title
Chief Executive Officer
Phone
(708) 229-9828

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

3545 Rose St
Franklin Park, IL 60131-2068

Mailing address

3545 Rose St
Franklin Park, IL 60131-2068
Phone (708) 229-9828

Other identifiers 2

IdentifierTypeStateIssuer
132265800OtherILOWCP DEPT OF LABOR
2221297OtherILBCBS

National Provider Directory

National Provider Directory

Locations

4121 Fairview Ave
Ste L6
Downers Grove, IL 60515
Phone (630) 968-5902

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1316088651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 ROSE ST",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312068",
            "telephone_number": "708-229-9828",
            "fax_number": "708-422-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 ROSE ST",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312068",
            "telephone_number": "708-229-9828",
            "fax_number": "708-422-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILLS PHYSICAL THERAPY AND REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MASHKOOR",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "708-229-9828",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP DEPT OF LABOR",
            "identifier": "132265800",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2221297",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.