NPIMap

Organization Active NPI

Functional Therapy Specialists PC

  • Physical Therapist
  • Elmhurst, IL
National Provider Identifier
1629211362
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014040 Issued in IL
Legal business name
FUNCTIONAL THERAPY SPECIALISTS PC
Practice address
401 N York Rd
Suite 4
Elmhurst, IL 60126-5510
Phone
(630) 941-8190
Fax
(630) 941-8194
NPI assigned
Apr 10, 2009
Organization subpart
Yes
Parent organization
ADVANCED HEALTH SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Dr. Doug Simper, D.C.
Title
President
Phone
(630) 941-8190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070014040 IL Primary

Addresses

Primary practice location

401 N York Rd
Suite 4
Elmhurst, IL 60126-5510

Mailing address

401 N York Rd
Suite 4
Elmhurst, IL 60126-5510
Phone (630) 941-8190

National Provider Directory

National Provider Directory
Part of
Advanced Health SC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1629211362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N YORK RD",
            "address_2": "SUITE 4",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265510",
            "telephone_number": "630-941-8190",
            "fax_number": "630-941-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N YORK RD",
            "address_2": "SUITE 4",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265510",
            "telephone_number": "630-941-8190",
            "fax_number": "630-941-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL THERAPY SPECIALISTS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED HEALTH SC",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "SIMPER",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-941-8190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014040",
            "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 Apr 10, 2009; 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.