Individual provider Active NPI

Edward Anthony O'Malley Jr., M.P.T.

  • Physical Therapist
  • Romeoville, IL
National Provider Identifier
1861425761
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-008577 Issued in IL
Practice address
448 A North Weber Road
Romeoville, IL 60446-5354
Phone
(875) 293-3740
Fax
(815) 293-3742
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-008577 IL Primary

Addresses

Primary practice location

448 A North Weber Road
Romeoville, IL 60446-5354

Mailing address

448 A North Weber Road
Romeoville, IL 60446-5354
Phone (815) 293-3740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061025000017 IL Practitioner - Physical Therapist in Private Practice 4284631821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

448 N Weber Rd
Suite a
Romeoville, IL 60446-5354
Phone (815) 293-3740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-008577ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy, S.C. Physical Therapist CurrentSince Mar 1, 2010 Accepting new patients

Locations

448 N Weber Rd
Ste A
Romeoville, IL 60446
Phone (815) 293-3740

197 W Romeo Rd
Romeoville, IL 60446
Phone (815) 293-3233

448 N Weber Rd
Romeoville, IL 60446

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1861425761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 A NORTH WEBER ROAD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465354",
            "telephone_number": "815-293-3740",
            "fax_number": "815-293-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 A NORTH WEBER ROAD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465354",
            "telephone_number": "875-293-3740",
            "fax_number": "815-293-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "EDWARD",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-008577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.