Active NPI
Medcoa Physical Therapy
- Physical Therapist
- Schaumburg, IL
National Provider Identifier
1750413019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MEDCOA PHYSICAL THERAPY
- Practice address
- 1083 N Selem Dr
Schaumburg, IL 60195 - Phone
- (847) 755-1122
- Fax
- (847) 781-7501
- NPI assigned
- Mar 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kyoo Hwan Lee, LPT
- Title
- Owner
- Phone
- (847) 755-1122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Primary |
Addresses
Primary practice location
1083 N Selem Dr
Schaumburg, IL 60195
Mailing address
PO Box 957964
Hoffman Estates, IL 60195-7964
Phone (847) 755-1122
Other names 1
- MEDOPIA PHYSICAL THERAPY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750413019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 957964",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601957964",
"telephone_number": "847-755-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1083 N SELEM DR",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "60195",
"telephone_number": "847-755-1122",
"fax_number": "847-781-7501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDCOA PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "KYOO",
"authorized_official_middle_name": "HWAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-755-1122",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDOPIA PHYSICAL THERAPY",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Schaumburg, 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.