NPIMap

Organization Active NPI

Moffett Physical Therapy

  • Physical Therapy Clinic/Center
  • Lake in the Hills, IL
National Provider Identifier
1841575487
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MOFFETT PHYSICAL THERAPY
Practice address
9551 Ackman Rd
Lake in the Hills, IL 60156-9709
Phone
(847) 669-8800
Fax
(847) 669-8211
NPI assigned
Oct 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Cheryl Moffett, MPTNPI 1376561423
Title
President
Phone
(847) 659-1000

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

9551 Ackman Rd
Lake in the Hills, IL 60156-9709

Mailing address

12531 Regency Parkway
Huntley, IL 60142-6500
Phone (847) 659-1000

National Provider Directory

National Provider Directory
Tax ID family
Moffett Physical Therapy in4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

9551 Ackman Rd
Lake in the Hills, IL 60156
Phone (847) 669-8800

Practitioners & affiliated clinicians

Practitioners 6

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": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1841575487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12531 REGENCY PARKWAY",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426500",
            "telephone_number": "847-659-1000",
            "fax_number": "847-659-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9551 ACKMAN RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569709",
            "telephone_number": "847-669-8800",
            "fax_number": "847-669-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOFFETT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "MOFFETT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-659-1000",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.