Individual provider Active NPI

Medhat Badr

  • Physical Therapist
  • Plainfield, IL
National Provider Identifier
1427128271
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1701 Caton Ridge Dr
Plainfield, IL 60586-5635
Phone
(708) 479-6522
Fax
(708) 479-6597
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

1701 Caton Ridge Dr
Plainfield, IL 60586-5635

Mailing address

8046 S Cottage Grove Ave Ste 106
Chicago, IL 60619-4004
Phone (708) 479-6522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Physical Therapy,PC Physical Therapist PastSince Mar 1, 2007 Accepting new patients
Revival Rehab PC Physical Therapist PastSince Jul 1, 2010 Accepting new patients
Highland Home Health Care LTD Physical Therapist PastSince Oct 10, 2006 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427128271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8046 S COTTAGE GROVE AVE STE 106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606194004",
            "telephone_number": "708-479-6522",
            "fax_number": "708-479-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CATON RIDGE DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865635",
            "telephone_number": "708-479-6522",
            "fax_number": "708-479-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADR",
        "first_name": "MEDHAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.