Yorkville Physical Therapy and Sports Medicine Center, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

YORKVILLE PHYSICAL THERAPY AND SPORTS MEDICINE CENTER, LLC

Practice address

728 E Veterans Parkway
Suite 107
Yorkville, IL 60560-1979

Phone

(630) 553-0349

Fax

(630) 553-0439

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Charles Clark, P.T.

Title

Owner

Phone

(630) 978-6218

Specialties & licenses 1

Addresses

Other names 1

• Atlas Physical Therapy & Sports Medicine Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Kajtsa, P.T.

  • Physical Medicine & Rehabilitation Physician
  • Yorkville, IL
  • NPI 1336112218
  NPD (past)
• Cathy McMillan, PTA

  • Physical Therapy Assistant
  • Aurora, IL
  • NPI 1720286925
  NPD (past)
• Matthew Nauman, PT

  • Physical Therapist
  • Gurnee, IL
  • NPI 1235398694
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1689628471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 E. VETERAN'S PKWY",
            "address_2": "SUITE 107",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601095",
            "telephone_number": "630-553-0349",
            "fax_number": "630-553-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 E VETERANS PARKWAY",
            "address_2": "SUITE 107",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601979",
            "telephone_number": "630-553-0349",
            "fax_number": "630-553-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORKVILLE PHYSICAL THERAPY AND SPORTS MEDICINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-978-6218",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Physical Therapy & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yorkville Care Center LLC
• Yorkville Dental
• Yorkville Dialysis Center, LLC
• Yorkville Imaging LLC
• Yorkville Medical Clinic, S.C.
• Yorkville School District #115
• Yorkville Vision LLC
• Julie Young, PSY.D.
• Nicole F Zangler, O.D.
• Kelly L Zielie, LCSW

• Physical Therapist in Yorkville, IL
• Providers in Yorkville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.