Organization Active NPI

Medcoa Physical Therapy

  • Physical Therapist
  • Schaumburg, IL
National Provider Identifier
1750413019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

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
Mr. Kyoo Hwan Lee, LPT
Title
Owner
Phone
(847) 755-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.