NPIMap

Organization Active NPI

Advanced Physical Therapy & Health Services LLC.

  • Physical Therapist
  • Park Ridge, IL
National Provider Identifier
1417965161
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-012674 Issued in IL
Legal business name
ADVANCED PHYSICAL THERAPY & HEALTH SERVICES LLC.
Practice address
444 N Northwest Hwy
Suite 202
Park Ridge, IL 60068-3263
Phone
(847) 268-0280
Fax
(847) 268-0283
NPI assigned
Aug 4, 2006
Last updated
Apr 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Authorized official

Name
Dr. Sara Koveleski Kraut, DPTNPI 1750593778
Title
Physical Therapist / Owner
Phone
(847) 268-0280

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-013381 IL
Physical Therapist 225100000X 070-014366 IL
Physical Therapist 225100000X 070-003166 IL
Physical Therapist 225100000X 070-010329 IL
Physical Therapist 225100000X 070-012674 IL Primary

Addresses

Primary practice location

444 N Northwest Hwy
Suite 202
Park Ridge, IL 60068-3263

Mailing address

444 N Northwest Hwy
Suite 202
Park Ridge, IL 60068-3263
Phone (847) 268-0280

Other identifiers 1

IdentifierTypeStateIssuer
01634637OtherILBLUE CROSS GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000473 IL Part B Supplier - Clinic/Group Practice 3375430499 Receives reassigned benefits from 10 practitioners
Practice locations: Park Ridge, IL

National Provider Directory

National Provider Directory

Locations

444 N Northwest Hwy
Ste 202
Park Ridge, IL 60068
Phone (847) 268-0280

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1417965161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY",
            "address_2": "SUITE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683263",
            "telephone_number": "847-268-0280",
            "fax_number": "847-268-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY",
            "address_2": "SUITE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683263",
            "telephone_number": "847-268-0280",
            "fax_number": "847-268-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY & HEALTH SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "KRAUT",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "KOVELESKI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "847-268-0280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-013381",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-014366",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-003166",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-010329",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-012674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "01634637",
            "state": "IL"
        }
    ],
    "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 Apr 22, 2010; 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.