Active NPI
Ryndak Physical Therapy, LTD.
- Orthopedic Physical Therapist
- Bloomingdale, IL
National Provider Identifier
1437223872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070-007745
- Legal business name
- RYNDAK PHYSICAL THERAPY, LTD.
- Practice address
- 136 W Lake St
Suite 100
Bloomingdale, IL 60108-1020 - Phone
- (630) 975-9469
- Fax
- (630) 295-9991
- NPI assigned
- Nov 18, 2006
- Last updated
- Jan 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bryan Ryndak, PT, MHS, OCS
- Title
- Owner
- Phone
- (630) 295-9990
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-007745 | IL | |
| Geriatric Physical Therapist | 2251G0304X | 070-007745 | IL | |
| Sports Physical Therapist | 2251S0007X | 070-007745 | IL | |
| Orthopedic Physical Therapist | 2251X0800X | 070-007745 | IL | Primary |
Addresses
Primary practice location
136 W Lake St
Suite 100
Bloomingdale, IL 60108-1020
Mailing address
117 Picton Rd
Roselle, IL 60172-3576
Phone (630) 975-9469
National Provider Directory
National Provider DirectoryLocations
136 W Lake St
Ste 100
Bloomingdale, IL 60108
Phone (630) 295-9990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231718400000",
"number": "1437223872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 PICTON RD",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601723576",
"telephone_number": "630-975-9469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 W LAKE ST",
"address_2": "SUITE 100",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081020",
"telephone_number": "630-975-9469",
"fax_number": "630-295-9991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYNDAK PHYSICAL THERAPY, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-18",
"last_updated": "2009-01-12",
"status": "A",
"authorized_official_last_name": "RYNDAK",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-295-9990",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT, MHS, OCS"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-007745",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "IL",
"license": "070-007745",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "IL",
"license": "070-007745",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070-007745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.