Individual provider Active NPI

Saxony A Matousek, P.T.

  • Orthopedic Physical Therapist
  • Chicago, IL
National Provider Identifier
1518323112
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070021954 Issued in IL
Practice address
8750 W Bryn Mawr
Chicago, IL 60631-3569
Phone
(630) 832-6919
Fax
(630) 832-6928
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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 070021954 IL Primary

Addresses

Primary practice location

8750 W Bryn Mawr
Chicago, IL 60631-3569

Mailing address

183 N York St
Elmhurst, IL 60126-2717
Phone (630) 832-6919

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

State licenses

LicenseStateTypeSpecialty
070021954ILMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1518323112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262717",
            "telephone_number": "630-832-6919",
            "fax_number": "630-832-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 W BRYN MAWR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313569",
            "telephone_number": "630-832-6919",
            "fax_number": "630-832-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOUSEK",
        "first_name": "SAXONY",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070021954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.