Peter Zepelak Physical Therapy PC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

8065 Issued in MN

Legal business name

PETER ZEPELAK PHYSICAL THERAPY PC

Practice address

4 Executive CT
Suite 1
South Barrington, IL 60010-9519

Phone

(847) 277-9698

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Peter J Zepelak, D.P.T.

Title

Owner/Physical Therapist

Phone

(847) 277-9698

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Zepelak Physical Therapy Doing business as

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1407098007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 30TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE CT",
            "address_2": "SUITE 1",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109519",
            "telephone_number": "847-277-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER ZEPELAK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "ZEPELAK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "847-277-9698",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "8065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1285742304",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zepelak Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopedic Physical Therapist in South Barrington, IL
• Providers in South Barrington, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.