Active NPI
Zubin S Tantra, PT, FAAOMPT
- Physical Therapist
- Mundelein, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-006952
- Practice address
- 511 E Hawley St
Mundelein, IL 60060-2419 - Phone
- (847) 543-7604
- Fax
- (847) 543-7605
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 070-006952 | IL | Primary |
Addresses
Primary practice location
511 E Hawley St
Mundelein, IL 60060-2419
Mailing address
511 E Hawley St
Mundelein, IL 60060-2419
Phone (847) 543-7604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1721 Moon Lake Blvd
Suite 105
Hoffman Estates, IL 60169-1070
Phone (224) 653-9989
511 E Hawley St
Mundelein, IL 60060-2419
Phone (847) 543-7604
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-006952 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake County Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
3535 E New York St
Ste 117
Aurora, IL 60504
Phone (630) 381-1381
511 E Hawley St
Mundelein, IL 60060
Phone (847) 201-7612
301 E Rollins Rd
Round Lake Beach, IL 60073
Phone (847) 201-7612
Organizations & group practices 1
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.
-
- Physical Therapist
- Mundelein, IL
- NPI 1851487581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1417040411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 E HAWLEY ST",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "600602419",
"telephone_number": "847-543-7604",
"fax_number": "847-543-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E HAWLEY ST",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "600602419",
"telephone_number": "847-543-7604",
"fax_number": "847-543-7605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANTRA",
"first_name": "ZUBIN",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "PT, FAAOMPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2023-11-15",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-006952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mundelein, IL
- Byron Strakusek, RPH.
- Suburban Internal Medicine SC
- Suburban Medical Associates, S.C.
- John S Sullivan, DDS
- Kelly Sviatko, IBCLC
- Jose Luis Tapia Jr., DMD, BDS
- Thomas C Pomierski DDS John S Sullivan DDS (Mundelein Dental Care)
- Cassandra Thomas, RPH
- Michelle S Thompson, CCC-SLP
- Thy & Associates, Inc. (Smile Center of Dr. Yong)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.