Organization Active NPI

Select Physical Therapy Orthopedic Services Inc

  • Rehabilitation Clinic/Center
  • Deerfield, IL
National Provider Identifier
1548229560
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SELECT PHYSICAL THERAPY ORTHOPEDIC SERVICES INC
Practice address
465 Lake Cook Rd
Lake Cook Plaza
Deerfield, IL 60015-5202
Phone
(847) 498-3670
NPI assigned
Mar 20, 2006
Last updated
Sep 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Michael Tarvin
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

465 Lake Cook Rd
Lake Cook Plaza
Deerfield, IL 60015-5202

Mailing address

465 Lake Cook Rd
Lake Cook Plaza
Deerfield, IL 60015-5202
Phone (847) 498-3670

National Provider Directory

National Provider Directory

Locations

465 Lake Cook Rd
Deerfield, IL 60015
Phone (847) 498-3670

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1548229560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 LAKE COOK RD",
            "address_2": "LAKE COOK PLAZA",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155202",
            "telephone_number": "847-498-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 LAKE COOK RD",
            "address_2": "LAKE COOK PLAZA",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155202",
            "telephone_number": "847-498-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY ORTHOPEDIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.