NPIMap

Organization Active NPI

Midwest Physical Therpay Ctr

  • Physical Therapy Clinic/Center
  • Schaumburg, IL
National Provider Identifier
1508900796
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MIDWEST PHYSICAL THERPAY CTR
Practice address
505 N Springinsguth Rd
Schaumburg, IL 60194-2767
Phone
(847) 839-9543
Fax
(847) 839-9545
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

505 N Springinsguth Rd
Schaumburg, IL 60194-2767

Mailing address

500 Park Blvd
Suite Ll80C
Itasca, IL 60143-3121
Phone (630) 285-8007

Other identifiers 1

IdentifierTypeStateIssuer
01621171OtherILBCBS PROVIDER NUMBER

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.

Locations

505 N Springinsguth Rd
Schaumburg, IL 60194
Phone (847) 839-9543

Practitioners & affiliated clinicians

Practitioners 4

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": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1508900796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PARK BLVD",
            "address_2": "SUITE LL80C",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601433121",
            "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": "505 N SPRINGINSGUTH RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601942767",
            "telephone_number": "847-839-9543",
            "fax_number": "847-839-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PHYSICAL THERPAY CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-08-18",
        "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": "BCBS PROVIDER NUMBER",
            "identifier": "01621171",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.