Organization Active NPI

Metrix Illinois, Inc.

  • Physical Therapist
  • Orland Park, IL
National Provider Identifier
1508037896
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
METRIX ILLINOIS, INC.
Practice address
10751 163Rd PL
Orland Park, IL 60467-8861
Phone
(708) 349-3377
Fax
(708) 349-7430
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Michael Twaddell
Title
Ceo
Phone
(847) 328-6775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

10751 163Rd PL
Orland Park, IL 60467-8861

Mailing address

790 Frontage Rd
Suite 401
Northfield, IL 60093-1204
Phone (847) 328-6775

Other identifiers 1

IdentifierTypeStateIssuer
01638048OtherILBCBS OF ILLINOIS GROUP #

Other names 1

  • Orland Park Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

790 W Frontage Rd
Ste 401
Northfield, IL 60093

10751 163rd Pl
Orland Park, IL 60467
Phone (708) 349-3377

Practitioners & affiliated clinicians

Practitioners 1

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": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1508037896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 FRONTAGE RD",
            "address_2": "SUITE 401",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931204",
            "telephone_number": "847-328-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 163RD PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678861",
            "telephone_number": "708-349-3377",
            "fax_number": "708-349-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRIX ILLINOIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "TWADDELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-328-6775"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS GROUP #",
            "identifier": "01638048",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orland Park Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.