Organization Active NPI

Zen Tantra Wellness Center

  • Physical Therapy Clinic/Center
  • Grayslake, IL
National Provider Identifier
1871857094
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070-010743 Issued in IL
Legal business name
ZEN TANTRA WELLNESS CENTER
Practice address
1475 E Belvidere Rd
Suite 216
Grayslake, IL 60030-2012
Phone
(847) 219-6278
Fax
(846) 229-0141
NPI assigned
Jul 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Mrs. Zenobia Zubin Tantra, PT
Title
Member
Phone
(847) 219-6278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 070-010743 IL Primary

Addresses

Primary practice location

1475 E Belvidere Rd
Suite 216
Grayslake, IL 60030-2012

Mailing address

2426 RFD
Long Grove, IL 60047-8306
Phone (847) 219-6278

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1871857094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 RFD",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600478306",
            "telephone_number": "847-219-6278",
            "fax_number": "846-229-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 E BELVIDERE RD",
            "address_2": "SUITE 216",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302012",
            "telephone_number": "847-219-6278",
            "fax_number": "846-229-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEN TANTRA WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "TANTRA",
        "authorized_official_first_name": "ZENOBIA",
        "authorized_official_middle_name": "ZUBIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-219-6278",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070-010743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.