Lexington Physical Therapy PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

070007027 Issued in IL

Legal business name

LEXINGTON PHYSICAL THERAPY PC

Practice address

13810 Cicero Ave
Suite F
Crestwood, IL 60445-1827

Phone

(708) 257-3831

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Ahmed Taha Mohammed

Title

President

Phone

(708) 257-3831

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Amr Ibrahim

  • Physical Therapist
  • Orland Park, IL
  • NPI 1669586707
  NPD (past)
• Yaseen K Odeh, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1457447443
  NPD (past)
• Mohamed Nagib Ab Sayed, PT

  • Physical Therapist
  • Palos Park, IL
  • NPI 1477603918
  NPD (past)
• Nader N. Tobia, M.D.

  • Internal Medicine Physician
  • Park Forest, IL
  • NPI 1831175447
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1710011945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1354",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "604991354",
            "telephone_number": "708-257-3831",
            "fax_number": "708-599-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 CICERO AVE",
            "address_2": "SUITE F",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604451827",
            "telephone_number": "708-257-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "TAHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-257-3831"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070007027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01639080",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Lara
• Tracy J Larsen, REGISTERED PHARMACIS
• Laureate Crestwood Operations LLC
• Learning Sea, LLC
• Bruce Frank Leo, HEARING INSTRUMENT D
• Lauren Rene Liakopoulos
• Anthony Lopez, ATC
• Michael Luckett
• Luxottica Retail North America Inc
• Marathon Health, LLC

• Physical Medicine & Rehabilitation Physician in Crestwood, IL
• Providers in Crestwood, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.