Organization Active NPI

Healthymotion, Inc.

  • Physical Therapist
  • Carol Stream, IL
National Provider Identifier
1801970314
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.008069 Issued in IL
Legal business name
HEALTHYMOTION, INC.
Practice address
135 E Saint Charles Rd
Suite G
Carol Stream, IL 60188-2078
Phone
(630) 588-0600
Fax
(630) 588-0606
NPI assigned
Oct 24, 2006
Last updated
Jan 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Ms. Lee Ann Everett, MPTNPI 1518048180
Title
Physical Therapist
Phone
(630) 588-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070.008069 IL Primary

Addresses

Primary practice location

135 E Saint Charles Rd
Suite G
Carol Stream, IL 60188-2078

Mailing address

135 E Saint Charles Rd
Suite G
Carol Stream, IL 60188-2078
Phone (630) 588-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070710000791 IL Part B Supplier - Clinic/Group Practice 3577663244 Receives reassigned benefits from 1 practitioner
Practice locations: Wheaton, IL

National Provider Directory

National Provider Directory

Locations

135 E Saint Charles Rd
Ste G
Carol Stream, IL 60188
Phone (630) 588-0600

1N121 County Farm Rd
Ste 220
Winfield, IL 60190
Phone (630) 234-3961

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1801970314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E SAINT CHARLES RD",
            "address_2": "SUITE G",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882078",
            "telephone_number": "630-588-0600",
            "fax_number": "630-588-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E SAINT CHARLES RD",
            "address_2": "SUITE G",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882078",
            "telephone_number": "630-588-0600",
            "fax_number": "630-588-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHYMOTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "630-588-0600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.008069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.