NPIMap

Organization Active NPI

Orthopedic Physical Therapy Services LLC

  • Physical Therapy Clinic/Center
  • Homer Glen, IL
National Provider Identifier
1851621601
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070002519 Issued in IL
Legal business name
ORTHOPEDIC PHYSICAL THERAPY SERVICES LLC
Practice address
12261 W 159TH St
Homer Glen, IL 60491-7847
Phone
(708) 301-2255
Fax
(708) 301-2631
NPI assigned
Dec 29, 2009
Last updated
Dec 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Dr. Helen E Owens, DPTNPI 1013073105
Title
Owner
Phone
(708) 301-2255

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 070002519 IL Primary

Addresses

Primary practice location

12261 W 159TH St
Homer Glen, IL 60491-7847

Mailing address

12261 W 159TH St
Homer Glen, IL 60491-7847
Phone (708) 301-2255

Other practice location 1

409 W Huron St Ste 300
Chicago, IL 60654-3431
Phone (312) 604-2562

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100326000493 IL Part B Supplier - Clinic/Group Practice 6002942299 Receives reassigned benefits from 10 practitioners
Practice locations: Chicago, IL; Homer Glen, IL

National Provider Directory

National Provider Directory

Locations

409 W Huron St
Ste 300
Chicago, IL 60654
Phone (312) 604-2562

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1851621601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12261 W 159TH ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917847",
            "telephone_number": "708-301-2255",
            "fax_number": "708-301-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12261 W 159TH ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917847",
            "telephone_number": "708-301-2255",
            "fax_number": "708-301-2631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 W Huron St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606543431",
            "country_code": "US",
            "telephone_number": "312-604-2562",
            "fax_number": "708-301-2631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOPEDIC PHYSICAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-301-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070002519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.