Northwind Physical Therapy LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

036103496 Issued in IL

Legal business name

NORTHWIND PHYSICAL THERAPY LLC

Practice address

1643 Northwind Blvd
Libertyville, IL 60048-9613

Phone

(847) 996-0671

Fax

(847) 996-0674

NPI assigned

Jun 3, 2010

Last updated

Jun 3, 2010By 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

Dr. David M DrexlerNPI 1508868027

Title

President

Phone

(847) 996-0671

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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 Drexler, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Wellington, FL
  • NPI 1508868027
  NPD (past) Authorized official

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1740500578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 NORTHWIND BLVD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489613",
            "telephone_number": "847-996-0671",
            "fax_number": "847-996-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 NORTHWIND BLVD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489613",
            "telephone_number": "847-996-0671",
            "fax_number": "847-996-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWIND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "DREXLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-996-0671",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "036103496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northshore Center for Gastroenterology, SC
• Northshore Osteopathic Healthcare
• Northshore Speech Therapy LLC
• Northstar Rehab Pain Clinics PLLC
• Northstar Rehab Pain Clinics PLLC
• Norton Psychological Services LLC
• Deborah Renee Norton, LCPC
• Julianna Novelo
• Abby Nowakowski, CRNA
• Colleen Daly Nowlan

• Health Service Clinic/Center in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.