Independent Therapy Associates, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INDEPENDENT THERAPY ASSOCIATES, INC.

Practice address

10407 Waterford Dr
Westchester, IL 60154-3538

Phone

(708) 409-8115

NPI assigned

Dec 28, 2010

Last updated

Dec 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shelley M Cole

Title

President

Phone

(708) 409-8115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1801190251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10407 WATERFORD DR",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601543538",
            "telephone_number": "708-409-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10407 WATERFORD DR",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601543538",
            "telephone_number": "708-409-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT THERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-409-8115",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Westchester, IL
• Providers in Westchester, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.