Organization Active NPI

Shea Physical Therapy LTD.

  • Physical Therapist
  • Buffalo Grove, IL
National Provider Identifier
1780981365
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070010546 Issued in IL
Legal business name
SHEA PHYSICAL THERAPY LTD.
Practice address
165 N Arlington Heights Rd
Suite 170
Buffalo Grove, IL 60089-1783
Phone
(224) 676-0450
Fax
(224) 676-0448
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Terence Brendan Shea
Title
President
Phone
(224) 676-0450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070010546 IL Primary

Addresses

Primary practice location

165 N Arlington Heights Rd
Suite 170
Buffalo Grove, IL 60089-1783

Mailing address

165 N Arlington Heights Rd
Suite 170
Buffalo Grove, IL 60089-1783
Phone (224) 676-0450

Other identifiers 1

IdentifierTypeStateIssuer
01633096OtherBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1780981365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 170",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891783",
            "telephone_number": "224-676-0450",
            "fax_number": "224-676-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 170",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891783",
            "telephone_number": "224-676-0450",
            "fax_number": "224-676-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA PHYSICAL THERAPY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "BRENDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-676-0450"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070010546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01633096",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.