Active NPI
Coleen Garcia, MPT
- Physical Therapist
- Elmhurst, IL
National Provider Identifier
1619134335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070008634
- Practice address
- 200 N Berteau Ave
Elmhurst, IL 60126-2966 - Phone
- (630) 758-8111
- NPI assigned
- May 20, 2008
- Last updated
- Jan 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070008634 | IL | Primary |
Addresses
Primary practice location
200 N Berteau Ave
Elmhurst, IL 60126-2966
Mailing address
7023 Willow Springs Rd
Ste 101
Countryside, IL 60525-4842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Northwestern University Feinberg Medical School, 1994
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
7023 Willow Springs Rd
Suite 101
Countryside, IL 60525-4842
Phone (708) 937-9249
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070008634 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perform Physical Therapy, Inc. | Current | Accepting new patients |
Locations
7023 Willow Springs Rd
Ste 101
Countryside, IL 60525
Phone (708) 937-9249
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Countryside, IL
- NPI 1841600673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1619134335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7023 WILLOW SPRINGS RD",
"address_2": "STE 101",
"city": "COUNTRYSIDE",
"state": "IL",
"postal_code": "605254842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N BERTEAU AVE",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262966",
"telephone_number": "630-758-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "COLEEN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070008634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.