PT Success Clinic Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070012698 Issued in IL

Legal business name

PT SUCCESS CLINIC INC.

Practice address

9501 New England Ave
Oak Lawn, IL 60453-2127

Phone

(708) 529-3406

NPI assigned

Jun 16, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey S Luban, DPTNPI 1134256068

Title

President

Phone

(312) 927-7331

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeffrey S Luban, DPT

  • Physical Therapist
  • Zion, IL
  • NPI 1134256068
  NPD Authorized official

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1689801847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 NEW ENGLAND AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 NEW ENGLAND AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532127",
            "telephone_number": "708-529-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT SUCCESS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "LUBAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-927-7331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070012698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Oak Lawn, IL
• Providers in Oak Lawn, 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 Nov 12, 2009; 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.