Organization Active NPI

Suburban Pediatric Therapies

  • Physical Therapist
  • Aurora, IL
National Provider Identifier
1831236579
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUBURBAN PEDIATRIC THERAPIES
Practice address
3965 75TH St Ste 104
Aurora, IL 60504-7913
Phone
(630) 236-7000
Fax
(630) 236-7800
NPI assigned
Jan 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karin E Sudlow
Title
Director
Phone
(630) 236-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X IL Primary

Addresses

Primary practice location

3965 75TH St Ste 104
Aurora, IL 60504-7913

Mailing address

3965 75TH St Ste 104
Aurora, IL 60504-7913
Phone (630) 236-7000

National Provider Directory

National Provider Directory
Tax ID family
Suburban Pediatric Therapies3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3965 75th St
Ste 104
Aurora, IL 60504
Phone (630) 236-7000

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831236579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 75TH ST STE 104",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047913",
            "telephone_number": "630-236-7000",
            "fax_number": "630-236-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 75TH ST STE 104",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047913",
            "telephone_number": "630-236-7000",
            "fax_number": "630-236-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PEDIATRIC THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUDLOW",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-236-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.