NPIMap

Organization Active NPI

Midwest Physical Therapy Center, LTD

  • Physical Therapy Clinic/Center
  • Elgin, IL
National Provider Identifier
1467742437
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MIDWEST PHYSICAL THERAPY CENTER, LTD
Practice address
1435 N Randall Rd
Suite 105
Elgin, IL 60123-2306
Phone
(847) 214-1305
Fax
(847) 214-1364
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Devinder Deol
Title
Practice Administrator
Phone
(630) 285-8007

Specialties & licenses 1

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

Addresses

Primary practice location

1435 N Randall Rd
Suite 105
Elgin, IL 60123-2306

Mailing address

1000 E State Pkwy
Suite E
Schaumburg, IL 60173-4569
Phone (630) 285-8007

Other identifiers 1

IdentifierTypeStateIssuer
IL3561OtherILMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
Midwest Physical Therapy Ctr13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1467742437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E STATE PKWY",
            "address_2": "SUITE E",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734569",
            "telephone_number": "630-285-8007",
            "fax_number": "630-285-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD",
            "address_2": "SUITE 105",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232306",
            "telephone_number": "847-214-1305",
            "fax_number": "847-214-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PHYSICAL THERAPY CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "DEOL",
        "authorized_official_first_name": "DEVINDER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "630-285-8007"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL3561",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.