Organization Active NPI

Pelvic Therapy and Fitness LLC

  • Physical Therapy Clinic/Center
  • Hoffman Estates, IL
National Provider Identifier
1336732437
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PELVIC THERAPY AND FITNESS LLC
Practice address
2500 W Higgins Rd Ste 1100
Hoffman Estates, IL 60169-2050
Phone
(847) 989-1491
NPI assigned
Feb 19, 2021
Last updated
Jan 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Sapna Patel, PTNPI 1225015332
Title
Owner
Phone
(630) 220-1783

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

2500 W Higgins Rd Ste 1100
Hoffman Estates, IL 60169-2050

Mailing address

317 Victor LN
Lake Zurich, IL 60047-8465
Phone (630) 220-1783

Other identifiers 1

IdentifierTypeStateIssuer
1336732437OtherILBCBS OF ILLINOIS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ptf@pelvictherapyfitness.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220505001192 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587050729 Receives reassigned benefits from 4 practitioners
Practice locations: Hoffman Estates, IL

National Provider Directory

National Provider Directory

Locations

3 Executive Ct
Ste 4
South Barrington, IL 60010
Phone (847) 387-4086

Practitioners & affiliated clinicians

Practitioners 4

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": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1336732437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 VICTOR LN",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600478465",
            "telephone_number": "630-220-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD STE 1100",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692050",
            "telephone_number": "847-989-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC THERAPY AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SAPNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-220-1783",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "1336732437",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ptf@pelvictherapyfitness.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2500 W Higgins Rd Ste 1100",
            "city": "Hoffman Estates",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601692050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.