Organization Active NPI

Women's Physical Therapy Institute Inc.

Doing business as Women's Physical Therapy Institute

  • Physical Therapist
  • Lake Zurich, IL
National Provider Identifier
1730234121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WOMEN'S PHYSICAL THERAPY INSTITUTE INC.
Doing business as
Women's Physical Therapy Institute
Practice address
755 Ela Rd
Lake Zurich, IL 60047-2337
Phone
(847) 550-9784
Fax
(847) 550-9780
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Teresa Lynn Elliott-Burke, P.T., MHSNPI 1932254406
Title
Co-Owner
Phone
(847) 550-9784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

755 Ela Rd
Lake Zurich, IL 60047-2337

Mailing address

755 Ela Rd
Lake Zurich, IL 60047-2337
Phone (847) 550-9784

Other identifiers 1

IdentifierTypeStateIssuer
04925901OtherILBCBS PROVIDER #

Other names 1

  • Women's Physical Therapy Institute Doing business as

National Provider Directory

National Provider Directory

Locations

407 E Congress Pkwy
Crystal Lake, IL 60014
Phone (815) 477-9784

407 E Congress Pkwy
Ste B
Crystal Lake, IL 60014
Phone (815) 477-9784

755 Ela Rd
Lake Zurich, IL 60047
Phone (847) 550-9784

Practitioners & affiliated clinicians

Practitioners 6

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730234121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 ELA RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472337",
            "telephone_number": "847-550-9784",
            "fax_number": "847-550-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 ELA RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472337",
            "telephone_number": "847-550-9784",
            "fax_number": "847-550-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S PHYSICAL THERAPY INSTITUTE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT-BURKE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "847-550-9784",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T., MHS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "04925901",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Physical Therapy Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.