Stacey Marguerite LTD

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070008992 Issued in IL

Legal business name

STACEY MARGUERITE LTD

Practice address

3330 Old Glenview Rd
Suite 9
Wilmette, IL 60091-2963

Phone

(847) 421-1076

Fax

(847) 307-7955

NPI assigned

Sep 8, 2014

Last updated

Sep 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey A Marguerite, PTNPI 1558505354

Title

Owner/Pediatric Physical Therapy

Phone

(847) 421-1076

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Stacey Anne Marguerite, PT

  • Physical Therapist
  • Wilmette, IL
  • NPI 1558505354
  NPD (past) Authorized official

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1508267782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PARK VIEW LN",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "600478968",
            "telephone_number": "847-421-1076",
            "fax_number": "847-307-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 OLD GLENVIEW RD",
            "address_2": "SUITE 9",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912963",
            "telephone_number": "847-421-1076",
            "fax_number": "847-307-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY MARGUERITE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "MARGUERITE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC PHYSICAL THERAPY",
        "authorized_official_telephone_number": "847-421-1076",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070008992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crispin Joseph Sortino
• Speech Therapy United LLC
• Lauren Spehr, LSW
• Spinae Vitae Physical Therapy PC
• Charlotte Spiro
• Daniel Stalilonis, LCSW
• Anna Maria Stankiewicz, M.D.
• Abby Staunton, PTA
• Stephanie Wright PHD PC
• Stephen J Bundra MD SC

• Physical Therapy Clinic/Center in Wilmette, IL
• Providers in Wilmette, 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 Sep 8, 2014; 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.