Physiotherapy Associates Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSIOTHERAPY ASSOCIATES INC

Practice address

610 S Maple Ave Ste 5900
Oak Park, IL 60304-2814

Phone

(708) 358-1612

Fax

(708) 358-1712

NPI assigned

Nov 10, 2006

Last updated

Nov 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael E. Tarvin Jr.

Title

Vice President and Secretary

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1851462188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE STE 5900",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042814",
            "telephone_number": "708-358-1612",
            "fax_number": "708-358-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01636250",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philippa Norman Inc
• Elaine Phillips, LPC
• Physiotherapy Associates
• Physiotherapy Associates
• Physiotherapy Associates Home Rehabilitation, LLC
• William Piccione, MD
• Aaron Samuel Picus, OTR/L
• Pierce Counseling and Consulting Services LLC
• Pierce Counseling and Consulting Services LLC
• Pierce Lake Partners, PLLC

• Physical Therapy Clinic/Center in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.