NPIMap

Organization Active NPI

Innovative Outpatient Medical Systems Inc.

Doing business as Innovative Care Therapy Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Tinley Park, IL
National Provider Identifier
1699773911
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
144527 Issued in IL
Legal business name
INNOVATIVE OUTPATIENT MEDICAL SYSTEMS INC.
Doing business as
Innovative Care Therapy Center
Practice address
18425 West Creek Dr Ste B
Tinley Park, IL 60477-6768
Phone
(708) 532-1337
Fax
(708) 532-1899
NPI assigned
Jul 11, 2005
Last updated
May 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Felicia G Cook
Title
Interim Administrator
Phone
(708) 532-1337

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Physical Therapist 225100000X
Physical Therapy Assistant 225200000X
Occupational Therapist 225X00000X
Pulmonary Rehabilitation Certified Respiratory Therapist 2278P1005X
Speech-Language Pathologist 235Z00000X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 144527 IL Primary

Addresses

Primary practice location

18425 West Creek Dr Ste B
Tinley Park, IL 60477-6768

Mailing address

18425 West Creek Dr Ste B
Tinley Park, IL 60477-6768
Phone (708) 532-1337

Other names 1

  • Innovative Care Therapy Center Doing business as

National Provider Directory

National Provider Directory

Locations

18322 West Creek Dr
Tinley Park, IL 60477
Phone (708) 532-1337

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1699773911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 WEST CREEK DR STE B",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776768",
            "telephone_number": "708-532-1337",
            "fax_number": "708-532-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 WEST CREEK DR STE B",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776768",
            "telephone_number": "708-532-1337",
            "fax_number": "708-532-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE OUTPATIENT MEDICAL SYSTEMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "INTERIM ADMINISTRATOR",
        "authorized_official_telephone_number": "708-532-1337"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "IL",
            "license": "144527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Care Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.