Organization Active NPI

Lysa Farrell Physical Therapy Inc.

  • Home Health Agency
  • Downers Grove, IL
National Provider Identifier
1528304052
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
070011650 Issued in IL
Legal business name
LYSA FARRELL PHYSICAL THERAPY INC.
Practice address
10S456 Dunham Dr
Downers Grove, IL 60516-7107
Phone
(630) 854-3601
Fax
(630) 985-2589
NPI assigned
Jan 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Mrs. Lysa Zaide Farrell, PTNPI 1184822090
Title
Owner
Phone
(630) 854-3601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 070011650 IL Primary

Addresses

Primary practice location

10S456 Dunham Dr
Downers Grove, IL 60516-7107

Mailing address

10S456 Dunham Dr
Downers Grove, IL 60516-7107
Phone (630) 854-3601

National Provider Directory

National Provider Directory

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": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1528304052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10S456 DUNHAM DR",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605167107",
            "telephone_number": "630-854-3601",
            "fax_number": "630-985-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10S456 DUNHAM DR",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605167107",
            "telephone_number": "630-854-3601",
            "fax_number": "630-985-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYSA FARRELL PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "LYSA",
        "authorized_official_middle_name": "ZAIDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-854-3601",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "070011650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.