Organization Active NPI

Comunity Physical Therapy

  • Physical Therapy Clinic/Center
  • Addison, IL
National Provider Identifier
1568762284
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070.010142 Issued in IL
Legal business name
COMUNITY PHYSICAL THERAPY
Practice address
721 W Lake St Ste 110
Addison, IL 60101-2091
Phone
(630) 543-7450
Fax
(630) 543-7475
NPI assigned
Oct 28, 2010
Last updated
Oct 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Mr. Robert Tripicchio, PT, MS, DSC
Title
President
Phone
(630) 766-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 070.010142 IL Primary

Addresses

Primary practice location

721 W Lake St Ste 110
Addison, IL 60101-2091

Mailing address

721 W Lake St Ste 110
Addison, IL 60101-2091
Phone (630) 543-7450

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1568762284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W LAKE ST STE 110",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012091",
            "telephone_number": "630-543-7450",
            "fax_number": "630-543-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W LAKE ST STE 110",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012091",
            "telephone_number": "630-543-7450",
            "fax_number": "630-543-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMUNITY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "TRIPICCHIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-766-0505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MS, DSC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070.010142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.