Marzouk Abdelfattah Ellythy, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.021819 Issued in IL

Practice address

1365 Wiley Rd
Suite 154
Schaumburg, IL 60173-4382

Phone

(224) 653-8709

Fax

(224) 653-9452

NPI assigned

Jun 25, 2007

Last updated

Jan 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Achieve Orthopedic Rehabilitation Specialists,LLC

  • Preferred Provider Organization
  • Orland Hills, IL
  • NPI 1821258013
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1891991162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E WALTON ST",
            "address_2": "SUITE 700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111448",
            "telephone_number": "312-642-3963",
            "fax_number": "312-642-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WILEY RD",
            "address_2": "SUITE 154",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734382",
            "telephone_number": "224-653-8709",
            "fax_number": "224-653-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLYTHY",
        "first_name": "MARZOUK",
        "middle_name": "ABDELFATTAH",
        "name_prefix": "Dr.",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.021819",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014435-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Care LLC (Homewatch Caregivers of Schaumburg)
• Elixir Chiropractic Care Centre, PC (Elixir Wellness Centre)
• Marion Elkin, LCPC
• Alyssa Ellis, PMHNP-BC
• Eric D Ellis, DPT
• Geoff Elsner
• Toni Elugbadebo
• Emily Harrell & Associates, Inc. (Center for Mindful Living)
• Emotionology, LLC
• Encore Village SLF LLC

• Physical Therapist in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.