Park Ridge Physical Therapy Clinic PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070002690 Issued in IL

Legal business name

PARK RIDGE PHYSICAL THERAPY CLINIC PC

Practice address

1416 Canfield Rd
Park Ridge, IL 60068-5536

Phone

(847) 698-7627

Fax

(847) 698-1486

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Vinod K Malhotra, P.T.

Title

President/ Director

Phone

(847) 698-7627

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1508051475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 CANFIELD RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685536",
            "telephone_number": "847-698-7627",
            "fax_number": "847-698-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 CANFIELD RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685536",
            "telephone_number": "847-698-7627",
            "fax_number": "847-698-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE PHYSICAL THERAPY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "VINOD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/ DIRECTOR",
        "authorized_official_telephone_number": "847-698-7627",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070002690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Ridge Lab Inc
• Park Ridge Multi-Med, S.C.
• Park Ridge North Suburban Vision Consultants LLC
• Park Ridge Pediatrics PC
• Park Ridge Periodontics, Inc.
• Park Ridge Psychological Services, LTD
• Park Ridge Psychotherapy and Counseling Services, Inc.
• Park Ridge Service Corporation
• Park Ridge Skilled Nursing Facility LLC
• Park Ridge Speech Therapy LLC

• Physical Therapy Clinic/Center in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.