Individual provider Active NPI

Ivan Huergo, MPT, DPT, MO

  • Physical Therapist
  • Elmhurst, IL
National Provider Identifier
1427141670
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070013411 Issued in IL
Practice address
360 W Butterfield Rd Ste 315
Elmhurst, IL 60126-5068
Phone
(800) 974-4378
Fax
(630) 515-1536
NPI assigned
Oct 2, 2006
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 070013411 IL Primary

Addresses

Primary practice location

360 W Butterfield Rd Ste 315
Elmhurst, IL 60126-5068

Mailing address

24014 W Renwick Rd Unit 206
Plainfield, IL 60544-8711
Phone (800) 974-4378

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
Emery Physical Therapy LLC Physical Therapist CurrentSince Nov 15, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Achieve Orthopedic Rehabilitation Institute,Inc Physical Therapist PastSince Nov 26, 2002 Accepting new patients
Physical Sciences Institute, Inc. Past Accepting new patients
Physical Sciences Institute, Inc. Past Accepting new patients
Aegis Group Practice LLC Physical Therapist PastSince Mar 5, 2023 Accepting new patients
Physical Sciences Institute, Inc. Past Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

4240 Town Center Blvd
El Dorado Hills, CA 95762
Phone (916) 693-7813

227 E Anapamu St
Santa Barbara, CA 93101
Phone (310) 531-3099

1698 S Elmhurst Rd
Ste 110
Mt Prospect, IL 60056
Phone (847) 786-2014

17W699 Roosevelt Rd
Oakbrook Terrace, IL 60181
Phone (224) 210-1436

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1427141670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24014 W RENWICK RD UNIT 206",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448711",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD STE 315",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265068",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUERGO",
        "first_name": "IVAN",
        "name_prefix": "Mr.",
        "credential": "MPT, DPT, MO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.