Cynthia Erin Halleran, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1202 King James Ave
St Charles, IL 60174-7817

Phone

(630) 443-6719

Fax

(630) 443-6719

NPI assigned

Jul 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Valley Physical Therapy and Wellness,LLC

  • Physical Therapist
  • St Charles, IL
  • NPI 1619288966
  Medicare reassignment NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659390243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 KING JAMES AVE",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601747817",
            "telephone_number": "630-443-6719",
            "fax_number": "630-443-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 KING JAMES AVE",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601747817",
            "telephone_number": "630-443-6719",
            "fax_number": "630-443-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLERAN",
        "first_name": "CYNTHIA",
        "middle_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Gutierrez, RBT
• Fatima M Hadi, MD
• Todd S Hagle, M.D.
• Halinas Residential Home Care
• Alexandria P Halkias, O.D.
• Della Madeline Halper, PSY.D.
• Mitchell R Halper, MD
• Nayyara Hameeduddin, MD
• Karen Hammond, LCSW
• Christopher M Hampson, M.D.

• Physical Therapist in St Charles, IL
• Providers in St Charles, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.