Organization Active NPI

Paramount Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Naperville, IL
National Provider Identifier
1831702232
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PARAMOUNT PHYSICAL THERAPY LLC
Practice address
2960 Artesian Rd Ste 152
Naperville, IL 60564-4876
Phone
(779) 875-8794
NPI assigned
Aug 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Dennis Carter, PTNPI 1639210487
Title
Owner
Phone
(779) 875-8794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2960 Artesian Rd Ste 152
Naperville, IL 60564-4876

Mailing address

2960 Artesian Rd Ste 152
Naperville, IL 60564-4876
Phone (779) 875-8794

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Naperville

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201014001924 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729408604 Receives reassigned benefits from 2 practitioners
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

2960 Artesian Rd
Ste 152
Naperville, IL 60564
Phone (630) 857-3856

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1831702232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 ARTESIAN RD STE 152",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644876",
            "telephone_number": "779-875-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 ARTESIAN RD STE 152",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644876",
            "telephone_number": "779-875-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "779-875-8794",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Naperville",
            "affiliation": "N",
            "address_1": "2960 Artesian Rd Ste 152",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605644876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.