Active NPI
LTZ Physical Therapy Center Inc
- Physical Therapy Clinic/Center
- McHenry, IL
National Provider Identifier
1407129356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 261QP2000X
- Legal business name
- LTZ PHYSICAL THERAPY CENTER INC
- Practice address
- 4117 W Shamrock LN
McHenry, IL 60050-8289 - Phone
- (815) 601-4613
- NPI assigned
- Feb 22, 2012
- 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
- Mrs. Teresa Mallari Barnard, RN
- Title
- Office Manager
- Phone
- (815) 601-4613
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 261QP2000X | IL | Primary |
Addresses
Primary practice location
4117 W Shamrock LN
McHenry, IL 60050-8289
Mailing address
4117 W Shamrock LN
McHenry, IL 60050-8289
Phone (815) 601-4613
National Provider Directory
National Provider Directory- Tax ID family
- LTZ Physical Therapy Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- McHenry, IL
- NPI 1922378447
-
- Physical Therapy Clinic/Center
- McHenry, IL
- NPI 1649541509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329868800000",
"number": "1407129356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4117 W SHAMROCK LN",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508289",
"telephone_number": "815-601-4613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4117 W SHAMROCK LN",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508289",
"telephone_number": "815-601-4613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LTZ PHYSICAL THERAPY CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-22",
"last_updated": "2012-02-22",
"status": "A",
"authorized_official_last_name": "BARNARD",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "MALLARI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "815-601-4613",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "IL",
"license": "261QP2000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.