Robert A Massopust, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070010142 Issued in IL

Practice address

721 W Lake St
Suite 110
Addison, IL 60101-2035

Phone

(630) 543-7450

Fax

(630) 543-7475

NPI assigned

Dec 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Physical Therapy & Assoc LTD

  • Orthopedic Physical Therapist
  • Addison, IL
  • NPI 1285731547
  NPD (past)
• Comunity Physical Therapy

  • Physical Therapy Clinic/Center
  • Addison, IL
  • NPI 1568762284
  NPD (past)
• Orthopaedic Surgery Specialists LTD

  • Orthopaedic Surgery Physician
  • Park Ridge, IL
  • NPI 1942300447
  NPD (past)

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1821272659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W LAKE ST",
            "address_2": "SUITE 110",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012035",
            "telephone_number": "630-543-7450",
            "fax_number": "630-543-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W LAKE ST",
            "address_2": "SUITE 110",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012035",
            "telephone_number": "630-543-7450",
            "fax_number": "630-543-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOPUST",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070010142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE",
            "identifier": "070010142",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cara A. Martinez, APN-CNP
• Jennifer M Martinez
• Ricardo Martinez, MD
• Sarah Giselle Martinez
• Sarita Maria Massey, M.D.
• Maternal and Child Medical Care, S.C
• Gina Ann Mathew, D.O.
• Krystyna Matysiuk
• Royal Mayer
• Mary Jo McDonnell, LCPC

• Physical Therapist in Addison, IL
• Providers in Addison, 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 1, 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.