Universal Physical Therapy Providers, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

UNIVERSAL PHYSICAL THERAPY PROVIDERS, INC

Practice address

1886 Techny CT
Northbrook, IL 60062-5474

Phone

(847) 707-3779

Fax

(847) 919-6794

NPI assigned

Sep 6, 2018

Organization subpart

No

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

Authorized official

Name

Jolynette Ilagan, PT

Title

Secretary

Phone

(773) 931-5926

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537056000000",
    "number": "1396227302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 TECHNY CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625474",
            "telephone_number": "847-707-3779",
            "fax_number": "847-919-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 TECHNY CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625474",
            "telephone_number": "847-707-3779",
            "fax_number": "847-919-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PHYSICAL THERAPY PROVIDERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-16",
        "status": "A",
        "authorized_official_last_name": "ILAGAN",
        "authorized_official_first_name": "JOLYNETTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "773-931-5926",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2018; 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.