NPIMap

Organization Active NPI

A Big Blast Project

  • Physical Therapy Clinic/Center
  • Glenview, IL
National Provider Identifier
1609010545
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
A BIG BLAST PROJECT
Practice address
2210 Linneman St
Glenview, IL 60025-4168
Phone
(847) 650-8161
NPI assigned
Apr 22, 2009
Last updated
May 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Rhonda Penzell
Title
President
Phone
(847) 650-8161

Specialties & licenses 1

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

Addresses

Primary practice location

2210 Linneman St
Glenview, IL 60025-4168

Mailing address

2210 Linneman St
Glenview, IL 60025-4168
Phone (847) 650-8161

Other names 1

  • A Big Blast, Inc Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1609010545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 LINNEMAN ST",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254168",
            "telephone_number": "847-650-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 LINNEMAN ST",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254168",
            "telephone_number": "847-650-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BIG BLAST PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "PENZELL",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-650-8161"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Big Blast, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.