Active NPI
Richard Cunningham, PT
- Orthopedic Physical Therapist
- Woodstock, IL
National Provider Identifier
1811367691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070.008555
- Practice address
- 8909 McConnell Rd
Woodstock, IL 60098-7459 - Phone
- (773) 251-3658
- Fax
- (773) 561-0937
- NPI assigned
- Oct 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 070.008555 | IL | Primary |
Addresses
Primary practice location
8909 McConnell Rd
Woodstock, IL 60098-7459
Mailing address
8909 McConnell Rd
Woodstock, IL 60098-7459
Phone (773) 251-3658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070.008555 | Other | IL | PHYSICAL THERAPY LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.008555 | IL | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1811367691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8909 MCCONNELL RD",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600987459",
"telephone_number": "773-251-3658",
"fax_number": "773-561-0937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8909 MCCONNELL RD",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600987459",
"telephone_number": "773-251-3658",
"fax_number": "773-561-0937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-06",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070.008555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "070.008555",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.