Pentacare Therapy Services

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PENTACARE THERAPY SERVICES

Practice address

8921 National Ave
Morton Grove, IL 60053-2028

Phone

(312) 451-8175

NPI assigned

Apr 26, 2016

Last updated

Apr 26, 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

Aijo VincentNPI 1508211699

Title

Ceo

Phone

(312) 451-8175

Specialties & licenses 2

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.

• Aijo Vincent

  • Physical Therapy Assistant
  • Morton Grove, IL
  • NPI 1508211699
  NPD (past) Authorized official

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1689029779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8921 NATIONAL AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532028",
            "telephone_number": "312-451-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8921 NATIONAL AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532028",
            "telephone_number": "312-451-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTACARE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "AIJO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-451-8175"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malvika Yogesh Patel, RPH
• Rashmika B Patel, D.D.S.
• Vinod S Patel
• Arda Paylan, DDS
• Madeline Pellikan, MS, LAT, ATC
• Aaron Peppel, HIS
• Kristy Perez
• Katherine Pericht
• Perry Danos DDS PC
• Jessica Pezzo

• Physical Therapy Clinic/Center in Morton Grove, IL
• Providers in Morton Grove, 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 Apr 26, 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.