Individual provider Active NPI

Marc A. Cecchini, P.T.

  • Orthopedic Physical Therapist
  • Oak Lawn, IL
National Provider Identifier
1487844429
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
5540 W 111TH St
Oak Lawn, IL 60453-5574
Phone
(708) 422-1311
Fax
(708) 422-1812
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X IL Primary

Addresses

Primary practice location

5540 W 111TH St
Oak Lawn, IL 60453-5574

Mailing address

5540 W 111TH St
Oak Lawn, IL 60453-5574
Phone (708) 422-1311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1487844429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 W 111TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535574",
            "telephone_number": "708-422-1311",
            "fax_number": "708-422-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 W 111TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535574",
            "telephone_number": "708-422-1311",
            "fax_number": "708-422-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECCHINI",
        "first_name": "MARC",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.