Organization Active NPI

Relive Physical Therapy LLC - Hart Road Barrington

  • Physical Therapy Clinic/Center
  • Barrington, IL
National Provider Identifier
1710602263
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RELIVE PHYSICAL THERAPY LLC - HART ROAD BARRINGTON
Practice address
600 Hart Rd Ste 320
Barrington, IL 60010-2603
Phone
(708) 390-3362
NPI assigned
Oct 6, 2022
Last updated
Oct 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
James D Judge, PT
Title
Owner
Phone
(708) 390-3362

Specialties & licenses 1

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

Addresses

Primary practice location

600 Hart Rd Ste 320
Barrington, IL 60010-2603

Mailing address

19070 Everett Blvd Unit 204
Mokena, IL 60448-2073
Phone (708) 390-3362

Other identifiers 1

IdentifierTypeStateIssuer
9999999999OtherILBLUE CROSS

National Provider Directory

National Provider Directory

Locations

19070 Everett Blvd
Unit 204
Mokena, IL 60448
Phone 70839033622073

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1710602263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19070 EVERETT BLVD UNIT 204",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604482073",
            "telephone_number": "708-390-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HART RD STE 320",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102603",
            "telephone_number": "708-390-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIVE PHYSICAL THERAPY LLC - HART ROAD BARRINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-390-3362",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "9999999999",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.