Mid American Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MID AMERICAN PHYSICAL THERAPY PC

Practice address

9830 Ridgeland Ave
Chicago Ridge, IL 60415-2667

Phone

(708) 422-8150

Fax

(708) 422-8160

NPI assigned

Apr 14, 2007

Last updated

Aug 22, 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

Atef Salama, PHYSICAL THERAPIST

Title

Prresident

Phone

(773) 297-2894

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568687705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 RIDGELAND AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152667",
            "telephone_number": "708-422-8150",
            "fax_number": "708-422-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 RIDGELAND AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152667",
            "telephone_number": "708-422-8150",
            "fax_number": "708-422-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICAN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALAMA",
        "authorized_official_first_name": "ATEF",
        "authorized_official_title_or_position": "PRRESIDENT",
        "authorized_official_telephone_number": "773-297-2894",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952452195",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972672640",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922159128",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John James McGarry
• Essam Fathy Mekhaiel, MD
• Patricia Meneghini, MA LSW LCPC CADC
• Merrionette Park Physicians Group SC
• Michael C. Moran, M.D., S.C.
• Midwest Community Laboratories Inc
• Midwest Express Care 2, Inc (Midwest Express Clinic)
• Midwest Interventional Pain Solutions LLC (Midwest Pain and Wellness)
• Midwest Interventional Pain Solutions LLC
• Greg Mierzwa

• Physical Therapy Clinic/Center in Chicago Ridge, IL
• Providers in Chicago Ridge, 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 Aug 22, 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.