Individual provider Active NPI

Patricia Linda Nootbaar, P.T.PCS.

  • Physical Therapist
  • Buffalo Grove, IL
National Provider Identifier
1407988736
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1572 Bunescu LN
Buffalo Grove, IL 60089-1250
Phone
(847) 913-9311
Fax
(847) 913-9311
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

1572 Bunescu LN
Buffalo Grove, IL 60089-1250

Mailing address

1572 Bunescu LN
Buffalo Grove, IL 60089-1250
Phone (847) 913-9311

Other names 1

  • Patricia Linda Matras-Nootbaar Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070003335ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Services LTD Physical Therapist Past Accepting new patients
In2Great Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407988736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 BUNESCU LN",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891250",
            "telephone_number": "847-913-9311",
            "fax_number": "847-913-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 BUNESCU LN",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891250",
            "telephone_number": "847-913-9311",
            "fax_number": "847-913-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOOTBAAR",
        "first_name": "PATRICIA",
        "middle_name": "LINDA",
        "credential": "P.T.PCS.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MATRAS-NOOTBAAR",
            "middle_name": "LINDA",
            "credential": "P.T.PCS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.