Active NPI
Myofascial Release & Therapy Services, Inc.
- Occupational Therapist
- Elgin, IL
National Provider Identifier
1437325842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- MYOFASCIAL RELEASE & THERAPY SERVICES, INC.
- Practice address
- 750 Fletcher Dr Ste 304
Elgin, IL 60123-4756 - Phone
- (847) 888-3131
- NPI assigned
- May 6, 2008
- 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
- Jane M Flynn, O.T.R.
- Title
- President
- Phone
- (847) 888-3131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
750 Fletcher Dr Ste 304
Elgin, IL 60123-4756
Mailing address
750 Fletcher Dr Ste 304
Elgin, IL 60123-4756
Phone (847) 888-3131
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686614400000",
"number": "1437325842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 FLETCHER DR STE 304",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234756",
"telephone_number": "847-888-3131",
"fax_number": "847-888-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 FLETCHER DR STE 304",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234756",
"telephone_number": "847-888-3131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYOFASCIAL RELEASE & THERAPY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-06",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A",
"authorized_official_last_name": "FLYNN",
"authorized_official_first_name": "JANE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-888-3131",
"authorized_official_credential": "O.T.R."
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.