Active NPI
Community Physical Therapy & Associates LTD
- Physical Therapy Clinic/Center
- Addison, IL
National Provider Identifier
1679397442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- COMMUNITY PHYSICAL THERAPY & ASSOCIATES LTD
- Practice address
- 2171 W Executive Dr Ste 500
Addison, IL 60101-5626 - Phone
- (630) 766-0505
- NPI assigned
- Nov 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carla Hernandez, PTA
- Title
- Physical Therapist Assistant
- Phone
- (708) 969-7919
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary | ||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
2171 W Executive Dr Ste 500
Addison, IL 60101-5626
Mailing address
2171 W Executive Dr Ste 500
Addison, IL 60101-5626
Phone (630) 766-0505
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731024000000",
"number": "1679397442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2171 W EXECUTIVE DR STE 500",
"city": "ADDISON",
"state": "IL",
"postal_code": "601015626",
"telephone_number": "630-766-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2171 W EXECUTIVE DR STE 500",
"city": "ADDISON",
"state": "IL",
"postal_code": "601015626",
"telephone_number": "630-766-0505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY PHYSICAL THERAPY & ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-08",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "CARLA",
"authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
"authorized_official_telephone_number": "708-969-7919",
"authorized_official_credential": "PTA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.