Organization Active NPI

Therasys Corporation

  • Physical Medicine & Rehabilitation Physician
  • Orland Park, IL
National Provider Identifier
1760437180
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
THERASYS CORPORATION
Practice address
10751 163Rd PL
Orland Park, IL 60467-8861
Phone
(708) 349-3377
Fax
(708) 349-7430
NPI assigned
May 24, 2006
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
Ms. Kimberly Baugh, CFO
Title
Chief Financial Officer
Phone
(847) 631-6227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

10751 163Rd PL
Orland Park, IL 60467-8861

Mailing address

5005 Newport Dr
Suite 401
Rolling Meadows, IL 60008-3832
Phone (847) 631-6227

Other identifiers 1

IdentifierTypeStateIssuer
01635363OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760437180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 NEWPORT DR",
            "address_2": "SUITE 401",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083832",
            "telephone_number": "847-631-6227",
            "fax_number": "847-797-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 163RD PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678861",
            "telephone_number": "708-349-3377",
            "fax_number": "708-349-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERASYS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUGH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "847-631-6227",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01635363",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, 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.