Naperville Physical Therapy Center P C

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

060-006798 Issued in IL

Legal business name

NAPERVILLE PHYSICAL THERAPY CENTER P C

Practice address

1240 Iroquois Ave Ste 400
Naperville, IL 60563-8540

Phone

(630) 369-1015

Fax

(630) 369-5015

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Donohue Rachford, PT

Title

Owner

Phone

(630) 369-1015

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fyzical Therapy & Balance Centers - Naperville Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Ann Crane, PT, DPT

  • Physical Therapist
  • Naperville, IL
  • NPI 1275669715
  NPD (past)
• Joseph Michael King, PT, ATC

  • Physical Therapist
  • North Aurora, IL
  • NPI 1831285238
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1770525172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 IROQUOIS AVE STE 400",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638540",
            "telephone_number": "630-369-1015",
            "fax_number": "630-369-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 IROQUOIS AVE STE 400",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638540",
            "telephone_number": "630-369-1015",
            "fax_number": "630-369-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE PHYSICAL THERAPY CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "RACHFORD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DONOHUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-369-1015",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "060-006798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "070-005610",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy & Balance Centers - Naperville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naperville Pain Management LTD
• Naperville Pain Management, LTD
• Naperville Pediatric Associates
• Naperville Pediatric Psychology & Development
• Naperville Pediatric Therapy LLC
• Naperville Psychiatric Ventures
• Naperville Psychiatric Ventures
• Naperville Radiologists, SC
• Naperville Rehab and Medical Clinic PC
• Naperville Rehab Clinic LTD

• All providers in Naperville, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.