Core Fitness & Physical Therapy Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070008168 Issued in IL

Legal business name

CORE FITNESS & PHYSICAL THERAPY INC.

Practice address

2940 W 95TH St
Evergreen Park, IL 60805-2408

Phone

(708) 422-0990

NPI assigned

Aug 1, 2008

Last updated

Apr 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Kay Fidler, PTNPI 1437315850

Title

Owner

Phone

(708) 422-0990

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Core Sport & Physical Therapy PLLC

  • Physical Therapist
  • Evergreen Park, IL
  • NPI 1376375394
  NPPES parent name

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.

• Diane Kay Fidler, PT

  • Physical Therapist
  • Chicago, IL
  • NPI 1437315850
  Authorized official Same address or phone

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1356507024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 W 95TH ST",
            "city": "EVERGREEN PK",
            "state": "IL",
            "postal_code": "608052408",
            "telephone_number": "708-422-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052408",
            "telephone_number": "708-422-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE FITNESS & PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "FIDLER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-422-0990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070008168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Connolly, MOTR/L
• Consultants in Cardiology & Electrophysiololgy LLC
• Consultants in Clinical Pathology
• Consultants in Laboratory Medicine and Pathology, LTD.
• Peggy Lynn Cook, RN
• Core Sport & Physical Therapy PLLC
• Karen M Costello, PT
• Siobhan T. Cotter, O.T.
• Natalia Adriana Cotton, PA-C
• Jennifer Courts, APN

• Physical Therapy Clinic/Center in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.