Living Beyond Therapeutics

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070016737 Issued in IL

Legal business name

LIVING BEYOND THERAPEUTICS

Practice address

19806 Kilkenny Ave
Tinley Park, IL 60487-4415

Phone

(708) 898-4777

Fax

(708) 880-4202

NPI assigned

Nov 18, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Yundee Yngson, PT

Title

Operations Officer

Phone

(708) 898-4777

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1780058479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 RIDGE RD",
            "address_2": "PO BOX 980",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304614",
            "telephone_number": "708-898-4777",
            "fax_number": "708-880-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19806 KILKENNY AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604874415",
            "telephone_number": "708-898-4777",
            "fax_number": "708-880-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING BEYOND THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "YNGSON",
        "authorized_official_first_name": "YUNDEE",
        "authorized_official_title_or_position": "OPERATIONS OFFICER",
        "authorized_official_telephone_number": "708-898-4777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146007427",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070016737",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070015213",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "IL",
            "license": "056002536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.