McHenry County Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070006399 Issued in IL

Legal business name

MCHENRY COUNTY PHYSICAL THERAPY, INC.

Practice address

406 Front St
Suite B
McHenry, IL 60050-5593

Phone

(815) 344-8706

Fax

(815) 344-8793

NPI assigned

Jan 21, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin D Camden, PT, OCS

Title

President

Phone

(815) 344-8706

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.

• Rachel Elizabeth Rietveld, DPT

  • Physical Therapist
  • McHenry, IL
  • NPI 1982996260
  NPD (past)

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1760713325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 FRONT ST",
            "address_2": "SUITE B",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505593",
            "telephone_number": "815-344-8706",
            "fax_number": "815-344-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 FRONT ST",
            "address_2": "SUITE B",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505593",
            "telephone_number": "815-344-8706",
            "fax_number": "815-344-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCHENRY COUNTY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "CAMDEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-344-8706",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070006399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby McGuffin
• McHenry C C School Dist 15
• McHenry Chiropractic PLLC
• McHenry Community High School
• McHenry County Mental Health Board
• McHenry Dental Associates
• McHenry Dental Center, LTD.
• McHenry Dental Specialists LLC
• McHenry Dialysis Center LLC
• McHenry Medical Center SC

• Physical Therapist in McHenry, IL
• Providers in McHenry, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.