Supplemental Therapy Services Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SUPPLEMENTAL THERAPY SERVICES INC

Practice address

3309 Cumberland TRL
Olympia Fields, IL 60461-1120

Phone

(708) 365-8158

NPI assigned

Sep 4, 2016

Last updated

Sep 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sir George Washington IIINPI 1215109558

Title

President

Phone

(708) 359-2670

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Sir George D Washington, OT

  • Occupational Therapist
  • Olympia Fields, IL
  • NPI 1215109558
  Authorized official Same address or phone

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

{
    "created_epoch": "1472947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1649727900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 CUMBERLAND TRL",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611120",
            "telephone_number": "708-365-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 CUMBERLAND TRL",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611120",
            "telephone_number": "708-365-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-04",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "SIR GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-359-2670",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suburban Visiting Physicians Group, LLC
• Kristen Sullivan
• Dymond Sulyman, NP
• Summerset Dental Care
• Ravi K Sundaram, D.O.
• Heather M Sutton, PHARMD
• Cecile Marie Anne Swift, DO
• Yahiya Syed, MD
• Jay C Symowicz, D.O.
• Henna Tai, D.O

• Physical Therapy Clinic/Center in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.