Active NPI
Integrity Physical Therapy, Inc.
- Rehabilitation Clinic/Center
- Burr Ridge, IL
National Provider Identifier
1770622672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- INTEGRITY PHYSICAL THERAPY, INC.
- Practice address
- 6901 S Madison St
Burr Ridge, IL 60527-5595 - Phone
- (630) 655-9041
- Fax
- (630) 655-9053
- NPI assigned
- Feb 6, 2007
- 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
- Michael E. Tarvin
- Title
- Vice President and Secretary
- Phone
- (717) 972-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
6901 S Madison St
Burr Ridge, IL 60527-5595
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540512000000",
"number": "1770622672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 GETTYSBURG RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554325",
"telephone_number": "717-972-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 S MADISON ST",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605275595",
"telephone_number": "630-655-9041",
"fax_number": "630-655-9053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRITY PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2018-10-26",
"status": "A",
"authorized_official_last_name": "TARVIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.