Organization Active NPI

Pres Physical Therapy

  • Physical Therapy Clinic/Center
  • Bartlett, IL
National Provider Identifier
1427060706
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PRES PHYSICAL THERAPY
Practice address
874 S Il Route 59
Bartlett, IL 60103-1633
Phone
(630) 837-2705
Fax
(630) 837-2686
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Mr. Prasad Satya Bhogaraju, P.T.NPI 1457363640
Title
Physical Therapist / Owner
Phone
(630) 837-2705

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 1

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

Addresses

Primary practice location

874 S Il Route 59
Bartlett, IL 60103-1633

Mailing address

874 S Il Route 59
Bartlett, IL 60103-1633
Phone (630) 837-2705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070122000084 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052312915 Receives reassigned benefits from 1 practitioner
Practice locations: Bartlett, IL

National Provider Directory

National Provider Directory

Locations

874 S Sutton Rd
Bartlett, IL 60103
Phone (630) 837-2705

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1427060706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 S IL ROUTE 59",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031633",
            "telephone_number": "630-837-2705",
            "fax_number": "630-837-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 S IL ROUTE 59",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031633",
            "telephone_number": "630-837-2705",
            "fax_number": "630-837-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "BHOGARAJU",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_middle_name": "SATYA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "630-837-2705",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.