NPIMap

Organization Active NPI

West Physical Therapy P C

  • Physical Therapy Clinic/Center
  • Sugar Grove, IL
National Provider Identifier
1659345262
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
060-008969 70-005680 Issued in IL
Legal business name
WEST PHYSICAL THERAPY P C
Practice address
38 S Main St
Suite a & B
Sugar Grove, IL 60554-5031
Phone
(630) 466-5866
Fax
(630) 466-5869
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Julie A West, PTNPI 1104877562
Title
Owner
Phone
(630) 466-5866

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 Therapy Clinic/Center 261QP2000X 060-008969 70-005680 IL Primary

Addresses

Primary practice location

38 S Main St
Suite a & B
Sugar Grove, IL 60554-5031

Mailing address

PO Box 274
Sugar Grove, IL 60554-0274
Phone (630) 466-5866

Other identifiers 3

IdentifierTypeStateIssuer
04527354OtherILBLUE CROSS BLUE SHIELD
APPLICATION PENDINGOtherILPHCS
APPLICATION PENDINGOtherILAETNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1659345262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 274",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605540274",
            "telephone_number": "630-466-5866",
            "fax_number": "630-466-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 S MAIN ST",
            "address_2": "SUITE A & B",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605545031",
            "telephone_number": "630-466-5866",
            "fax_number": "630-466-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PHYSICAL THERAPY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-466-5866",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "060-008969 70-005680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04527354",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "APPLICATION PENDING",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "APPLICATION PENDING",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.