Organization Active NPI

Midwest Physical Therapy Center, LTD

  • Physical Therapy Clinic/Center
  • Schaumburg, IL
National Provider Identifier
1699786558
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MIDWEST PHYSICAL THERAPY CENTER, LTD
Practice address
1000 E State Pkwy
Suite E
Schaumburg, IL 60173-4569
Phone
(630) 285-8007
Fax
(630) 285-8017
NPI assigned
Aug 10, 2006
Last updated
Jul 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Craig L Kruse, PT
Title
Director of Physical Therapy
Phone
(630) 285-8007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X IL Primary

Addresses

Primary practice location

1000 E State Pkwy
Suite E
Schaumburg, IL 60173-4569

Mailing address

1000 E State Pkwy
Suite E
Schaumburg, IL 60173-4569
Phone (630) 285-8007

Other identifiers 1

IdentifierTypeStateIssuer
001621171OtherILBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

1732 W Algonquin Rd
Arlington Hts, IL 60005
Phone (847) 385-2601

618 E Golf Rd
Arlington Hts, IL 60005
Phone (630) 285-8007

500 Park Blvd
Itasca, IL 60143
Phone (630) 285-8007

Practitioners & affiliated clinicians

Practitioners 4

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1699786558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E STATE PKWY",
            "address_2": "SUITE E",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734569",
            "telephone_number": "630-285-8007",
            "fax_number": "630-285-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E STATE PKWY",
            "address_2": "SUITE E",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734569",
            "telephone_number": "630-285-8007",
            "fax_number": "630-285-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PHYSICAL THERAPY CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "630-285-8007",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "001621171",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.