Timothy John Caruso, PT
Individual provider Active NPI Physical Therapist · Addison, IL
NPI 1669632121 · NPPES record last updated Jun 9, 2008
Key facts
- NPI
- 1669632121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070003791 (IL)
- Practice address
- 2171 W Executive Dr
Suite 450
Addison, IL 60101-5625 - Phone
- (630) 282-5588
- NPI assigned
- Jun 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070003791 | IL | MD | Physical Therapist |
| 070-003791 | IL | MD | Neurology Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070003791 | IL | Yes |
| Ergonomics Physical Therapist | 2251E1200X | 070-003791 | IL | |
| Geriatric Physical Therapist | 2251G0304X | 070-003791 | IL | |
| Human Factors Physical Therapist | 2251H1300X | 070-003791 | IL | |
| Neurology Physical Therapist | 2251N0400X | 070-003791 | IL | |
| Pediatric Physical Therapist | 2251P0200X | 070-003791 | IL | |
| Sports Physical Therapist | 2251S0007X | 070-003791 | IL | |
| Orthopedic Physical Therapist | 2251X0800X | 070-003791 | IL |
Addresses
Primary practice location
2171 W Executive Dr
Suite 450
Addison, IL 60101-5625
Mailing address
1578 W Holtz Ave
Addison, IL 60101-1930
Other providers in Addison, IL
- Cristina Cabrera
- Peter Ellery Call
- Karla Campos
- Teodora Canick
- Rachel Marie Carter
- Cas Healthcare Corporation
- Century Clinics LLC
- Ewa Cerven
- Tina Chalabiani Nejadazar
- Kimmy Chan
All providers in Addison, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.