Organization Active NPI

Mre Physical Therapy LTD.

  • Physical Therapy Clinic/Center
  • Mount Prospect, IL
National Provider Identifier
1528540457
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MRE PHYSICAL THERAPY LTD.
Practice address
1698 S Elmhurst Rd Ste 200
Mt Prospect, IL 60056-5289
Phone
(224) 210-1436
NPI assigned
Sep 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Mr. Philip OlasaNPI 1528145299
Title
President
Phone
(847) 532-4051

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1698 S Elmhurst Rd Ste 200
Mt Prospect, IL 60056-5289

Mailing address

649 N Oaklawn Ave
Elmhurst, IL 60126-1808
Phone (224) 210-1436

Other practice location 1

17W699 Roosevelt Rd
Oakbrook Terrace, IL 60181-3545
Phone (224) 210-1436

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherILNONE

National Provider Directory

National Provider Directory

Locations

2380 S Elmhurst Rd
Ste 200
Mt Prospect, IL 60056

1698 S Elmhurst Rd
Ste 200
Mt Prospect, IL 60056
Phone (224) 210-1436

17W699 Roosevelt Rd
Oakbrook Terrace, IL 60181
Phone (224) 210-1436

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": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1528540457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 N OAKLAWN AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261808",
            "telephone_number": "224-210-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 S ELMHURST RD STE 200",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600565289",
            "telephone_number": "224-210-1436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17W699 Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "601813545",
            "country_code": "US",
            "telephone_number": "224-210-1436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MRE PHYSICAL THERAPY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "OLASA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-532-4051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.