NPIMap

Organization Active NPI

Northwest Center for Physical Therapy

  • Physical Therapist
  • Park Ridge, IL
National Provider Identifier
1417947763
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070003103 Issued in IL
Legal business name
NORTHWEST CENTER FOR PHYSICAL THERAPY
Practice address
1400 N Northwest Hwy
Suite 100
Park Ridge, IL 60068-1431
Phone
(847) 297-7020
Fax
(847) 297-7022
NPI assigned
Oct 27, 2005
Last updated
Oct 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Joseph Pawlik, PTNPI 1568487072
Title
Physical Therapist/Co-Owner
Phone
(847) 297-7020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070003103 IL Primary
Physical Therapist 225100000X 070005817 IL
Physical Therapist 225100000X 070013859 IL
Physical Therapist 225100000X 070014321 IL

Addresses

Primary practice location

1400 N Northwest Hwy
Suite 100
Park Ridge, IL 60068-1431

Mailing address

1400 N Northwest Hwy
Suite 100
Park Ridge, IL 60068-1431
Phone (847) 297-7020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1417947763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N NORTHWEST HWY",
            "address_2": "SUITE 100",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681431",
            "telephone_number": "847-297-7020",
            "fax_number": "847-297-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N NORTHWEST HWY",
            "address_2": "SUITE 100",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681431",
            "telephone_number": "847-297-7020",
            "fax_number": "847-297-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CENTER FOR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "PAWLIK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CO-OWNER",
        "authorized_official_telephone_number": "847-297-7020",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070003103",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070005817",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013859",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014321",
            "primary": false
        }
    ],
    "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 Oct 14, 2009; 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.