NPIMap

Organization Active NPI

Maldonado O'Connell LTD.

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1548387244
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MALDONADO O'CONNELL LTD.
Doing business as
Elite Physical Therapy
Practice address
1455 S Michigan Ave
Ste. 230
Chicago, IL 60605-2771
Phone
(312) 360-0702
Fax
(312) 360-0705
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Mr. Luis A Maldonado, P.T.
Title
President
Phone
(312) 360-0702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1455 S Michigan Ave
Ste. 230
Chicago, IL 60605-2771

Mailing address

1455 S Michigan Ave
Ste. 230
Chicago, IL 60605-2771
Phone (312) 360-0702

Other identifiers 1

IdentifierTypeStateIssuer
01633141OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Elite Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elite Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1455 S Michigan Ave
#218
Chicago, IL 60605
Phone (312) 360-0702

Practitioners & affiliated clinicians

Practitioners 3

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1548387244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S MICHIGAN AVE",
            "address_2": "STE. 230",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052771",
            "telephone_number": "312-360-0702",
            "fax_number": "312-360-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S MICHIGAN AVE",
            "address_2": "STE. 230",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052771",
            "telephone_number": "312-360-0702",
            "fax_number": "312-360-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALDONADO O'CONNELL LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-360-0702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01633141",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 19, 2007; 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.