Active NPI
Elizabeth Mootheril, PT
- Physical Therapist
- Lisle, IL
National Provider Identifier
1376576223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070012331
- Practice address
- 6200 River Bend Dr
Lisle, IL 60532-4511 - Phone
- (630) 324-8243
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070012331 | IL | Primary |
Addresses
Primary practice location
6200 River Bend Dr
Lisle, IL 60532-4511
Mailing address
6200 River Bend Dr
Lisle, IL 60532-4511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emery Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Past | Accepting new patients |
Locations
1698 S Elmhurst Rd
Ste 110
Mt Prospect, IL 60056
Phone (847) 786-2014
17W699 Roosevelt Rd
Oakbrook Terrace, IL 60181
Phone (224) 210-1436
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Mount Prospect, IL
- NPI 1154663813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1376576223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 RIVER BEND DR",
"city": "LISLE",
"state": "IL",
"postal_code": "605324511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 RIVER BEND DR",
"city": "LISLE",
"state": "IL",
"postal_code": "605324511",
"telephone_number": "630-324-8243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOTHERIL",
"first_name": "ELIZABETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070012331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.