Active NPI
Therasys Corporation
- Physical Medicine & Rehabilitation Physician
- Orland Park, IL
National Provider Identifier
1760437180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01635363 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI 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.