Suburban PT, Inc.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Legal business name

SUBURBAN PT, INC.

Practice address

5909 W 35TH St
Cicero, IL 60804-4163

Phone

(708) 683-5118

Fax

(708) 683-5124

NPI assigned

Jan 14, 2013

Organization subpart

No

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

Authorized official

Name

Primitkumar Shah, PTNPI 1962687020

Title

President

Phone

(708) 683-5118

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Suburban Physical Therapy Inc

  • Physical Therapist
  • Berwyn, IL
  • NPI 1023144599

  O20050707000152

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Primitkumar P. Shah, P.T.

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1962687020
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1417294240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 INDIAN TRAIL RD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232777",
            "telephone_number": "630-621-2826",
            "fax_number": "708-683-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 W 35TH ST",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044163",
            "telephone_number": "708-683-5118",
            "fax_number": "708-683-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PRIMITKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-683-5118",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Cicero, IL
• Providers in Cicero, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.