NPIMap

Organization Active NPI

Willow Therapeutics

  • Physical Therapist
  • Plainfield, IL
National Provider Identifier
1821168204
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
70008654 Issued in IL
Legal business name
WILLOW THERAPEUTICS
Practice address
24835 Franklin LN
Plainfield, IL 60585-2216
Phone
(815) 508-5253
NPI assigned
Nov 9, 2006
Last updated
May 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Mr. Rious Manabat, PT
Title
Rehabilitation Manager
Phone
(815) 508-5253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 70008654 IL Primary

Addresses

Primary practice location

24835 Franklin LN
Plainfield, IL 60585-2216

Mailing address

24835 Franklin LN
Plainfield, IL 60585-2216
Phone (815) 508-5253

National Provider Directory

National Provider Directory
Tax ID family
Greenwell Therapeutics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1821168204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24835 FRANKLIN LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852216",
            "telephone_number": "815-508-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24835 FRANKLIN LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852216",
            "telephone_number": "815-508-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "MANABAT",
        "authorized_official_first_name": "RIOUS",
        "authorized_official_title_or_position": "REHABILITATION MANAGER",
        "authorized_official_telephone_number": "815-508-5253",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "70008654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.