Organization Active NPI

Southside Orthopaedics P.C.

Doing business as dba HEIGHTS PHYSICAL THERAPY

  • Specialist
  • Palos Heights, IL
National Provider Identifier
1447376140
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
060.002144 036.04481 Issued in IL
Legal business name
SOUTHSIDE ORTHOPAEDICS P.C.
Doing business as
dba HEIGHTS PHYSICAL THERAPY
Practice address
11757 Southwest Hwy
Palos Heights, IL 60463-1015
Phone
(708) 361-3930
Fax
(708) 361-7969
NPI assigned
Mar 22, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Thomas P Regan, M.D.
Title
Medical Doctor
Phone
(708) 361-3930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 060.002144 036.04481 IL Primary

Addresses

Primary practice location

11757 Southwest Hwy
Palos Heights, IL 60463-1015

Mailing address

11757 Southwest Hwy
Palos Heights, IL 60463-1084
Phone (708) 361-3930

Other identifiers 1

IdentifierTypeStateIssuer
01633518OtherILBC/BS

Other names 1

  • dba HEIGHTS PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

11757 Southwest Hwy
Palos Heights, IL 60463
Phone (708) 361-3800

11757 Southwest Hwy
Ste B
Palos Heights, IL 60463

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1447376140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11757 SOUTHWEST HWY",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631084",
            "telephone_number": "708-361-3930",
            "fax_number": "708-361-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11757 SOUTHWEST HWY",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631015",
            "telephone_number": "708-361-3930",
            "fax_number": "708-361-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE ORTHOPAEDICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "708-361-3930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "060.002144 036.04481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "01633518",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba HEIGHTS PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.