Active NPI
Michael J Reid, DPT
- Physical Therapist
- Vernon Hills, IL
National Provider Identifier
1780832782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070016519
- Practice address
- 935 Lakeview Parkway
Ste 195
Vernon Hills, IL 60061 - Phone
- (847) 247-7200
- Fax
- (847) 247-4340
- NPI assigned
- Sep 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070016519 | IL | Primary |
Addresses
Primary practice location
935 Lakeview Parkway
Ste 195
Vernon Hills, IL 60061
Mailing address
935 Lakeview Parkway
Ste 195
Vernon Hills, IL 60061
Phone (847) 247-7200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070016519 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Praxis Physical Therapy and Human Performance PC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Vernon Hills, IL
- NPI 1235240037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1780832782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 LAKEVIEW PARKWAY",
"address_2": "STE 195",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "60061",
"telephone_number": "847-247-7200",
"fax_number": "847-247-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 LAKEVIEW PARKWAY",
"address_2": "STE 195",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "60061",
"telephone_number": "847-247-7200",
"fax_number": "847-247-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070016519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.