NPIMap

Organization Active NPI

Creative Therapeutics, LTD.

  • Physical Therapist
  • Dekalb, IL
National Provider Identifier
1356565238
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-005903 Issued in IL
Legal business name
CREATIVE THERAPEUTICS, LTD.
Practice address
400 E Hillcrest Dr Ste 110
Dekalb, IL 60115-2470
Phone
(815) 758-5508
Fax
(815) 758-5537
NPI assigned
Apr 12, 2007
Last updated
Aug 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Mrs. Lynn Therese Batalden, DPTNPI 1477662401
Title
Owner
Phone
(815) 758-5508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-005903 IL Primary
Physical Therapist 225100000X 070-013157 IL
Physical Therapist 225100000X 070-013129 IL
Physical Therapy Assistant 225200000X 160-000589 IL
Massage Therapist 225700000X 227-001277 IL
Occupational Therapist 225X00000X 056-005205 IL

Addresses

Primary practice location

400 E Hillcrest Dr Ste 110
Dekalb, IL 60115-2470

Mailing address

400 E Hillcrest Dr Ste 110
Dekalb, IL 60115-2470
Phone (815) 758-5508

Other identifiers 1

IdentifierTypeStateIssuer
1921441OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

400 E Hillcrest Dr
Ste 110
DeKalb, IL 60115
Phone (815) 758-5508

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1356565238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E HILLCREST DR STE 110",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152470",
            "telephone_number": "815-758-5508",
            "fax_number": "815-758-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E HILLCREST DR STE 110",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152470",
            "telephone_number": "815-758-5508",
            "fax_number": "815-758-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE THERAPEUTICS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "BATALDEN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-758-5508",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-005903",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-013157",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-013129",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160-000589",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227-001277",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-005205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1921441",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

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