Organization Active NPI

PT2 LLC

  • Rehabilitation Clinic/Center
  • Highland Park, IL
National Provider Identifier
1831729847
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PT2 LLC
Practice address
643 Roger Williams Ave
Highland Park, IL 60035-4807
Phone
(847) 508-2221
NPI assigned
Jan 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Pamela Tomlinson, DPTNPI 1629104971
Title
Owner/Physical Therapist
Phone
(847) 508-2221

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

643 Roger Williams Ave
Highland Park, IL 60035-4807

Mailing address

2916 Twin Oaks Dr
Highland Park, IL 60035-1141
Phone (847) 508-2221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200406001167 IL Part B Supplier - Clinic/Group Practice 3779912118 Receives reassigned benefits from 2 practitioners
Practice locations: Highland Park, IL

National Provider Directory

National Provider Directory

Locations

643 Roger Williams Ave
Highland Park, IL 60035
Phone (847) 508-2221

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": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1831729847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 TWIN OAKS DR",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351141",
            "telephone_number": "847-508-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 ROGER WILLIAMS AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354807",
            "telephone_number": "847-508-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "847-508-2221",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.