NPIMap

Organization Active NPI

Creative Therapy Resource, LLC

  • Physical Therapy Clinic/Center
  • Niles, IL
National Provider Identifier
1467409094
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CREATIVE THERAPY RESOURCE, LLC
Practice address
9519 N Milwaukee Ave
Niles, IL 60714-1211
Phone
(847) 390-0999
Fax
(847) 390-0949
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Cynthia Flosi, PT, DPT, P.T.
Title
Clinic Director
Phone
(847) 390-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9519 N Milwaukee Ave
Niles, IL 60714-1211

Mailing address

9519 N Milwaukee Ave
Niles, IL 60714-1211
Phone (847) 390-0999

Other practice location 1

1683 Elk Blvd
Des Plaines, IL 60016-4721
Phone (847) 390-0999

Other practice location 2

1135 Milwaukee Ave
Riverwoods, IL 60015-3512
Phone (847) 520-9038

Other names 1

  • FYZICAL Therapy and Balance Center Doing business as

National Provider Directory

National Provider Directory

Locations

7105 Virginia Rd
Ste 19
Crystal Lake, IL 60014
Phone (815) 459-0555

1683 Elk Blvd
Des Plaines, IL 60016
Phone (847) 390-0999

922 State Route 22
Fox River Grv, IL 60021
Phone (847) 462-0555

9519 N Milwaukee Ave
Niles, IL 60714
Phone (847) 390-0999

307 S Milwaukee Ave
Ste 107
Wheeling, IL 60090
Phone (847) 390-0999

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1467409094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9519 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141211",
            "telephone_number": "847-390-0999",
            "fax_number": "847-390-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9519 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141211",
            "telephone_number": "847-390-0999",
            "fax_number": "847-390-0949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1683 Elk Blvd",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600164721",
            "country_code": "US",
            "telephone_number": "847-390-0999",
            "fax_number": "847-390-0949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Riverwoods",
            "state": "IL",
            "postal_code": "600153512",
            "country_code": "US",
            "telephone_number": "847-520-9038",
            "fax_number": "847-390-0949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVE THERAPY RESOURCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "FLOSI, PT, DPT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "847-390-0999",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy and Balance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.