Healing Hands Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070017865 Issued in IL

Legal business name

HEALING HANDS PHYSICAL THERAPY, INC

Practice address

8695 Archer Ave
Suite 21
Willow Springs, IL 60480-1260

Phone

(708) 915-0950

NPI assigned

Oct 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Susane Mukdad, DPT

Title

Doctor of Physical Therapy/Owner

Phone

(708) 915-0950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1457755167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 ARCHER AVE",
            "address_2": "SUITE 21",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801260",
            "telephone_number": "708-915-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8695 ARCHER AVE",
            "address_2": "SUITE 21",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801260",
            "telephone_number": "708-915-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "MUKDAD",
        "authorized_official_first_name": "SUSANE",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY/OWNER",
        "authorized_official_telephone_number": "708-915-0950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070017865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everlasting Hospice Inc.
• Kathryn Garcia
• Michelle Gessler, LCPC
• Edward Steven Golom, DDS
• Kristen Hawrysz
• Sierra Hobson, LSW
• Eileen Mary Johnson, DPT, PT
• Jaisine Joseph, PT
• Karuna Wellness LLC
• Justin Kelly, PTA

• Physical Therapy Clinic/Center in Willow Springs, IL
• Providers in Willow Springs, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.