Organization Active NPI

Team Sapiens Physical Therapy LLC

  • Physical Therapist
  • Northbrook, IL
National Provider Identifier
1326589102
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TEAM SAPIENS PHYSICAL THERAPY LLC
Practice address
1942 Raymond Dr
Northbrook, IL 60062-6715
Phone
(630) 447-9746
Fax
(630) 385-0124
NPI assigned
Mar 14, 2017
Last updated
Oct 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Slavko Milicevic, DPTNPI 1043663610
Title
Partner
Phone
(630) 447-9746

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1942 Raymond Dr
Northbrook, IL 60062-6715

Mailing address

1942 Raymond Dr
Northbrook, IL 60062-6715
Phone (630) 447-9746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180213000020 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2163780073 Receives reassigned benefits from 3 practitioners
Practice locations: Northbrook, IL

National Provider Directory

National Provider Directory

Locations

1885 Holste Rd
Northbrook, IL 60062

1942 Raymond Dr
Northbrook, IL 60062
Phone (630) 447-9746

1855 Holste Rd
Northbrook, IL 60062
Phone (630) 447-9746

Practitioners & affiliated clinicians

Practitioners 3

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": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1326589102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 RAYMOND DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626715",
            "telephone_number": "630-447-9746",
            "fax_number": "630-385-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 RAYMOND DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626715",
            "telephone_number": "630-447-9746",
            "fax_number": "630-385-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM SAPIENS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "MILICEVIC",
        "authorized_official_first_name": "SLAVKO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "630-447-9746",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

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

Verify at the official NPI Registry.