NPIMap

Organization Active NPI

Achieve Orthopedic Manual Therapy Park Ridge, PLLC

  • Physical Therapy Clinic/Center
  • Park Ridge, IL
National Provider Identifier
1417680810
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ACHIEVE ORTHOPEDIC MANUAL THERAPY PARK RIDGE, PLLC
Practice address
422 N Northwest Hwy Ste 200
Park Ridge, IL 60068-3273
Phone
(847) 384-8511
Fax
(847) 384-8513
NPI assigned
Jul 5, 2022
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
January Lewis Tucker
Title
Billing Director/Cred Rep
Phone
(630) 300-3770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

422 N Northwest Hwy Ste 200
Park Ridge, IL 60068-3273

Mailing address

PO Box 228
Willow Springs, IL 60480-0228
Phone (630) 371-1623

National Provider Directory

National Provider Directory

Locations

422 N Northwest Hwy
Ste 200
Park Ridge, IL 60068
Phone (847) 384-3980

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1417680810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 228",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604800228",
            "telephone_number": "630-371-1623",
            "fax_number": "630-371-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N NORTHWEST HWY STE 200",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683273",
            "telephone_number": "847-384-8511",
            "fax_number": "847-384-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE ORTHOPEDIC MANUAL THERAPY PARK RIDGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS TUCKER",
        "authorized_official_first_name": "JANUARY",
        "authorized_official_title_or_position": "BILLING DIRECTOR/CRED REP",
        "authorized_official_telephone_number": "630-300-3770"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.