Individual provider Active NPI

Donna Christine Sadeghloo, PT

  • Orthopedic Physical Therapist
  • Lincolnshire, IL
National Provider Identifier
1760741193
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070-008995 Issued in IL
Practice address
100 Village GRN
Suite # 120-B
Lincolnshire, IL 60069-3094
Phone
(847) 634-2317
Fax
(847) 634-2367
NPI assigned
May 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 070-008995 IL Primary

Addresses

Primary practice location

100 Village GRN
Suite # 120-B
Lincolnshire, IL 60069-3094

Mailing address

100 Village GRN
Suite # 120-B
Lincolnshire, IL 60069-3094
Phone (847) 634-2317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-008995ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Orthopaedic Care, LLC. CurrentSince Mar 1, 2013 Accepting new patients

Locations

100 Village Grn
Ste 120
Lincolnshire, IL 60069
Phone (847) 634-1766

100 Village Grn
Ste 100
Lincolnshire, IL 60069
Phone (847) 634-1766

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1760741193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE GRN",
            "address_2": "SUITE # 120-B",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693094",
            "telephone_number": "847-634-2317",
            "fax_number": "847-634-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE GRN",
            "address_2": "SUITE # 120-B",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693094",
            "telephone_number": "847-634-2317",
            "fax_number": "847-634-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEGHLOO",
        "first_name": "DONNA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070-008995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.