Organization Active NPI

City Center Physical Therapy - Joliet

  • Physical Therapist
  • Joliet, IL
National Provider Identifier
1346392271
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CITY CENTER PHYSICAL THERAPY - JOLIET
Practice address
205 E Clinton St
Joliet, IL 60432-2854
Phone
(815) 126-2468
Fax
(815) 726-4431
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Timothy R Semlow, PT
Title
Physical Therapist
Phone
(815) 722-1757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

205 E Clinton St
Joliet, IL 60432-2854

Mailing address

205 E Clinton St
Joliet, IL 60432-2854
Phone (815) 126-2468

Other identifiers 3

IdentifierTypeStateIssuer
DB8745OtherILRAILROAD MEDICARE
09932154OtherILBLUE CROSS BLUE SHIELD
207445MedicaidIL

National Provider Directory

National Provider Directory

Locations

205 E Clinton St
Joliet, IL 60432
Phone (708) 726-2468

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1346392271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E CLINTON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604322854",
            "telephone_number": "815-126-2468",
            "fax_number": "815-726-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E CLINTON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604322854",
            "telephone_number": "815-126-2468",
            "fax_number": "815-726-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY CENTER PHYSICAL THERAPY - JOLIET",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "SEMLOW",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "815-722-1757",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB8745",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09932154",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207445",
            "state": "IL"
        }
    ],
    "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 Jul 16, 2008; 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.