NPIMap

Organization Active NPI

TLC Centers for Therapy

Doing business as Dream Riders

  • Physical Therapist
  • Crystal Lake, IL
National Provider Identifier
1780336123
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TLC CENTERS FOR THERAPY
Doing business as
Dream Riders
Practice address
4701 N Oak St
Crystal Lake, IL 60012-3309
Phone
(815) 788-1020
Fax
(815) 788-1422
NPI assigned
Jan 26, 2022
Last updated
Jan 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Mrs. Brittany Nichole Justes
Title
Administrative Manager
Phone
(815) 788-1020

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

4701 N Oak St
Crystal Lake, IL 60012-3309

Mailing address

4701 N Oak St
Crystal Lake, IL 60012-3309
Phone (815) 788-1020

Other names 1

  • Dream Riders Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1780336123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N OAK ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123309",
            "telephone_number": "815-788-1020",
            "fax_number": "815-788-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N OAK ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123309",
            "telephone_number": "815-788-1020",
            "fax_number": "815-788-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC CENTERS FOR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "JUSTES",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "815-788-1020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Riders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.