Healthy Body Healthy Mind

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070013796 Issued in IL

Legal business name

HEALTHY BODY HEALTHY MIND

Practice address

1029 W Park Ave
Libertyville, IL 60048-2550

Phone

(847) 722-8704

Fax

(847) 929-9568

NPI assigned

Mar 16, 2011

Last updated

May 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Foo, PTNPI 1265458772

Title

Vice President

Phone

(847) 722-8704

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• David Foo, P.T.

  • Physical Therapist
  • Libertyville, IL
  • NPI 1265458772
  Medicare reassignment Authorized official
• Petra Foo, L.AC

  • Acupuncturist
  • Libertyville, IL
  • NPI 1053672246
  NPD (past)

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1700185741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 W PARK AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482550",
            "telephone_number": "847-722-8704",
            "fax_number": "847-929-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 W PARK AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482550",
            "telephone_number": "847-722-8704",
            "fax_number": "847-929-9568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1641 N Milwaukee Ave",
            "address_2": "Suite #9",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600481350",
            "country_code": "US",
            "telephone_number": "847-722-8704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHY BODY HEALTHY MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "FOO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-722-8704",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198000668",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198000516",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hauscares
• Hayley Hausherr, PA-C
• Cody Hawks
• Callie Hazelgrove
• Healthe-Quest Systems, LTD (Health Quest-Libertyville)
• Healthy Minds Behavioral Health LLC
• Healthy Minds BH LLC
• Hearing Associates PC
• Hearing Professionals of America LLC
• Heart Rhythm Management of Lake County

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.