Individual provider Active NPI

Michael John McCarthy, DPT

  • Physical Therapist
  • Woodridge, IL
National Provider Identifier
1689180788
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070023417 Issued in IL
Practice address
7409 Woodridge Dr Ste F
Woodridge, IL 60517-2249
Phone
(630) 967-2000
NPI assigned
Dec 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070023417 IL Primary

Addresses

Primary practice location

7409 Woodridge Dr Ste F
Woodridge, IL 60517-2249

Mailing address

1860 Payshere Circle
Chicago, IL 60674-0001
Phone (630) 469-9200

Other practice location 1

7409 Woodridge Dr Ste F
Woodridge, IL 60517-2249
Phone (630) 967-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.mccarthy2@dulyhealthandcare.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070023417ILMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: michael.mccarthy2@dulyhealthandcare.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1689180788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSHERE CIRCLE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740001",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 WOODRIDGE DR STE F",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172249",
            "telephone_number": "630-967-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7409 Woodridge Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Woodridge",
            "state": "IL",
            "postal_code": "605172249",
            "country_code": "US",
            "telephone_number": "630-967-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.mccarthy2@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "7409 Woodridge Dr Ste F",
            "city": "Woodridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605172249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.