NPIMap

Organization Active NPI

Moffett Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Huntley, IL
National Provider Identifier
1467486787
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MOFFETT PHYSICAL THERAPY, INC.
Practice address
12531 Regency Pkwy
Huntley, IL 60142-6500
Phone
(847) 659-1000
Fax
(847) 659-1012
NPI assigned
Jul 11, 2006
Last updated
Jul 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Cheryl A Moffett, MPTNPI 1376561423
Title
President
Phone
(847) 659-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

12531 Regency Pkwy
Huntley, IL 60142-6500

Mailing address

12531 Regency Pkwy
Huntley, IL 60142-6500
Phone (847) 659-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050404000871 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012964893 Receives reassigned benefits from 5 practitioners
Practice locations: Hampshire, IL; Huntley, IL; Lake in the Hills, IL

National Provider Directory

National Provider Directory
Tax ID family
Moffett Physical Therapy in4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10389 Vine St
Huntley, IL 60142
Phone (847) 659-1000

9551 Ackman Rd
Lake in the Hills, IL 60156
Phone (847) 669-8800

Practitioners & affiliated clinicians

Practitioners 7

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1467486787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12531 REGENCY PKWY",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426500",
            "telephone_number": "847-659-1000",
            "fax_number": "847-659-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12531 REGENCY PKWY",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426500",
            "telephone_number": "847-659-1000",
            "fax_number": "847-659-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOFFETT PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "MOFFETT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-659-1000",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.