Active NPI
Agility Physical Therapy, Inc.
- Home Health Agency
- Naperville, IL
National Provider Identifier
1457516569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AGILITY PHYSICAL THERAPY, INC.
- Practice address
- 1928 Tamahawk LN
Naperville, IL 60564-8936 - Phone
- (630) 697-3753
- NPI assigned
- Jul 29, 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
- Mr. Peter Kowalkowski, PT
- Title
- President
- Phone
- (630) 697-3753
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1928 Tamahawk LN
Naperville, IL 60564-8936
Mailing address
1928 Tamahawk LN
Naperville, IL 60564-8936
Phone (630) 697-3753
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217289600000",
"number": "1457516569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1928 TAMAHAWK LN",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605648936",
"telephone_number": "630-697-3753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1928 TAMAHAWK LN",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605648936",
"telephone_number": "630-697-3753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGILITY PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-29",
"last_updated": "2008-07-29",
"status": "A",
"authorized_official_last_name": "KOWALKOWSKI",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-697-3753",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.