Active NPI
Timothy Fergus, PT, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1407467376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1438 W Chestnut St Apt 3R
Chicago, IL 60642-5329 - Phone
- (630) 765-4375
- NPI assigned
- Aug 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
1438 W Chestnut St Apt 3R
Chicago, IL 60642-5329
Mailing address
5800 Lonetree Blvd Ste 101
Rocklin, CA 95765-3785
Other practice location 1
1755 Park St Ste 200
Naperville, IL 60563-8404
Phone (866) 839-6979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1407467376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 LONETREE BLVD STE 101",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957653785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1438 W CHESTNUT ST APT 3R",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606425329",
"telephone_number": "630-765-4375"
}
],
"practiceLocations": [
{
"address_1": "1755 Park St Ste 200",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605638404",
"country_code": "US",
"telephone_number": "866-839-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERGUS",
"first_name": "TIMOTHY",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.