NPIMap

Organization Active NPI

Advanced Physical Medicine & Therapy, LTD.

  • Customized Equipment (DME)
  • Mount Prospect, IL
National Provider Identifier
1821680273
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ADVANCED PHYSICAL MEDICINE & THERAPY, LTD.
Practice address
350 W Kensington Rd Ste 102
Mount Prospect, IL 60056-1141
Phone
(847) 222-9060
Fax
(847) 222-9130
NPI assigned
Feb 8, 2021
Last updated
Feb 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED PHYSICAL MEDICINE & THERAPY, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Jolie Patel
Title
Office Manager
Phone
(847) 222-9060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

350 W Kensington Rd Ste 102
Mount Prospect, IL 60056-1141

Mailing address

350 W Kensington Rd Ste 102
Mount Prospect, IL 60056-1141
Phone (847) 222-9060

National Provider Directory

National Provider Directory
Part of
Advanced Physical Medicine Therapy LTD

Locations

350 W Kensington Rd
Ste 102
Mt Prospect, IL 60056
Phone (847) 222-9060

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1821680273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W KENSINGTON RD STE 102",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561141",
            "telephone_number": "847-222-9060",
            "fax_number": "847-222-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W KENSINGTON RD STE 102",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561141",
            "telephone_number": "847-222-9060",
            "fax_number": "847-222-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL MEDICINE & THERAPY, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED PHYSICAL MEDICINE & THERAPY, LTD",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JOLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-222-9060"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.