Active NPI
Harvard Physical Therapy
- Physical Therapist
- Harvard, IL
National Provider Identifier
1376688176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- HARVARD PHYSICAL THERAPY
- Practice address
- 343 S Division St
Harvard, IL 60033-3276 - Phone
- (815) 943-0191
- Fax
- (815) 943-0196
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Gulbrandson, P.T.
- Title
- Owner-President
- Phone
- (847) 516-8095
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Primary |
Addresses
Primary practice location
343 S Division St
Harvard, IL 60033-3276
Mailing address
2615 3 Oaks Rd
Suite 1a
Cary, IL 60013-6127
Phone (847) 516-8095
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7153220 | Other | IL | AETNA |
| 05632091 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
343 S Division St
Harvard, IL 60033
Phone (815) 943-0191
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Cary, IL
- NPI 1730254202
-
- Physical Therapist
- Harvard, IL
- NPI 1841372174
-
- Physical Therapist
- Harvard, IL
- NPI 1831275379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1376688176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 3 OAKS RD",
"address_2": "SUITE 1A",
"city": "CARY",
"state": "IL",
"postal_code": "600136127",
"telephone_number": "847-516-8095",
"fax_number": "847-516-8095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 S DIVISION ST",
"city": "HARVARD",
"state": "IL",
"postal_code": "600333276",
"telephone_number": "815-943-0191",
"fax_number": "815-943-0196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARVARD PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "GULBRANDSON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "OWNER-PRESIDENT",
"authorized_official_telephone_number": "847-516-8095",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7153220",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "05632091",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harvard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.