Organization Active NPI

Prime Physical Therapy

  • Physical Therapy Clinic/Center
  • Des Plaines, IL
National Provider Identifier
1316219108
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070016523 Issued in IL
Legal business name
PRIME PHYSICAL THERAPY
Practice address
183 N East River Rd
C5
Des Plaines, IL 60016-1251
Phone
(847) 271-6408
NPI assigned
Feb 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Maria Noreen Collado, PTNPI 1619249711
Title
Physical Therapy
Phone
(847) 271-6408

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 070016523 IL Primary

Addresses

Primary practice location

183 N East River Rd
C5
Des Plaines, IL 60016-1251

Mailing address

183 N East River Rd
C5
Des Plaines, IL 60016-1251
Phone (847) 271-6408

National Provider Directory

National Provider Directory

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": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1316219108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 N EAST RIVER RD",
            "address_2": "C5",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161251",
            "telephone_number": "847-271-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 N EAST RIVER RD",
            "address_2": "C5",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161251",
            "telephone_number": "847-271-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "COLLADO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "NOREEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "847-271-6408",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070016523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.