Midwest Orthopaedics at Rush, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MIDWEST ORTHOPAEDICS AT RUSH, LLC

Practice address

17130 Prime Blvd Ste 101
Lockport, IL 60441-1311

Phone

(708) 236-2772

NPI assigned

Sep 17, 2020

Last updated

Sep 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian J. Cole

Title

Managing Physician Provider

Phone

(708) 236-2673

Specialties & licenses 1

Addresses

Tax ID family

Midwest Orthopaedics LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Midwest Orthopaedics at Rush, LLC

  • Physical Therapy Clinic/Center
  • Park Ridge, IL
  • NPI 1497377386
  NPD tax ID
• Midwest Orthopaedics at Rush, LLC

  • Physical Therapy Clinic/Center
  • Bensenville, IL
  • NPI 1548876063
  NPD tax ID
• Midwest Orthopaedics at Rush, LLC

  dba Midwest Orthopaedics at Rush

  • Physical Therapy Clinic/Center
  • Orland Park, IL
  • NPI 1689140899
  NPD tax ID

Locations

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1548876329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WESTBROOK CORPORATE CTR STE 240",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545745",
            "telephone_number": "708-236-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17130 PRIME BLVD STE 101",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604411311",
            "telephone_number": "708-236-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ORTHOPAEDICS AT RUSH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN PROVIDER",
        "authorized_official_telephone_number": "708-236-2673"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann McIntyre, DPT
• Ashley McNeely, ATC
• Michelene J Meersman, PA-C
• Tracy Metcalf, PHD, LCPC, NCC
• Midwest Hand Surgery SC
• William Mikaitis, MD
• Alex S Milker
• Valerie R Miller, PT
• Jack J. Mitchell, DDS
• Ya-Han Mo

• Physical Therapy Clinic/Center in Lockport, IL
• Providers in Lockport, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.