NPIMap

Organization Active NPI

Clarity Physical Therapy and Wellness Center, LLC

  • Physical Therapist
  • Western Springs, IL
National Provider Identifier
1588082747
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070013518 Issued in IL
Legal business name
CLARITY PHYSICAL THERAPY AND WELLNESS CENTER, LLC
Practice address
814 Hillgrove Ave
Western Springs, IL 60558-1439
Phone
(708) 505-3900
Fax
(708) 505-4647
NPI assigned
Apr 3, 2014
Last updated
May 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Craig J MawdsleyNPI 1003832387
Title
Owner
Phone
(630) 244-2665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070013518 IL Primary

Addresses

Primary practice location

814 Hillgrove Ave
Western Springs, IL 60558-1439

Mailing address

814 Hillgrove Ave
Western Springs, IL 60558-1439
Phone (708) 505-3900

Other identifiers 1

IdentifierTypeStateIssuer
1003832387OtherILNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140429001487 IL Part B Supplier - Clinic/Group Practice 4082847041 Receives reassigned benefits from 10 practitioners
Practice locations: Clarendon Hills, IL; Western Springs, IL

National Provider Directory

National Provider Directory

Locations

223 Burlington Ave
Clarendon Hills, IL 60514
Phone (630) 866-1074

229 Burlington Ave
Clarendon Hills, IL 60514
Phone (630) 866-1074

814 Hillgrove Ave
Western Springs, IL 60558
Phone (708) 505-3900

Practitioners & affiliated clinicians

Practitioners 12

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": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1588082747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 HILLGROVE AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581439",
            "telephone_number": "708-505-3900",
            "fax_number": "708-505-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 HILLGROVE AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581439",
            "telephone_number": "708-505-3900",
            "fax_number": "708-505-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITY PHYSICAL THERAPY AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "MAWDSLEY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-244-2665"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003832387",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Western Springs, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.