Organization Active NPI

Medcoa Physical Therapy S.C.

  • Physical Therapist
  • Schaumburg, IL
National Provider Identifier
1891955878
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-004213 Issued in IL
Legal business name
MEDCOA PHYSICAL THERAPY S.C.
Practice address
1083 N Salem Dr
Schaumburg, IL 60194-1331
Phone
(847) 755-1122
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Kyoo Hwan Lee
Title
L P T
Phone
(847) 755-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070-004213 IL Primary

Addresses

Primary practice location

1083 N Salem Dr
Schaumburg, IL 60194-1331

Mailing address

PO Box 957964
Hoffman Est, IL 60195-7964
Phone (847) 755-1122

Other names 1

  • MEDCOA PHYSICAL THERAPY Former legal business name

National Provider Directory

National Provider Directory

Locations

1083 N Salem Dr
Schaumburg, IL 60194
Phone (847) 755-1122

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1891955878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957964",
            "city": "HOFFMAN EST",
            "state": "IL",
            "postal_code": "601957964",
            "telephone_number": "847-755-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 N SALEM DR",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601941331",
            "telephone_number": "847-755-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCOA PHYSICAL THERAPY S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KYOO",
        "authorized_official_middle_name": "HWAN",
        "authorized_official_title_or_position": "L P T",
        "authorized_official_telephone_number": "847-755-1122"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-004213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDCOA PHYSICAL THERAPY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.