LTZ Physical Therapy Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

041326250 Issued in IL

Legal business name

LTZ PHYSICAL THERAPY CENTER

Practice address

4117 W Shamrock LN
McHenry, IL 60050-8289

Phone

(815) 601-4613

Fax

(815) 484-9226

NPI assigned

Jan 1, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Zosima Abiva Victuelles, RN

Title

Chairman of the Board

Phone

(630) 890-7530

Specialties & licenses 2

Addresses

Tax ID family

LTZ Physical Therapy Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• LTZ Physical Therapy Center Corp

  • Physical Therapy Clinic/Center
  • McHenry, IL
  • NPI 1649541509
  NPD tax ID
• LTZ Physical Therapy Center Inc

  • Physical Therapy Clinic/Center
  • McHenry, IL
  • NPI 1407129356
  NPD tax ID

Locations

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

{
    "created_epoch": "1325376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1922378447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 W SHAMROCK LN",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508289",
            "telephone_number": "815-601-4613",
            "fax_number": "815-484-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 W SHAMROCK LN",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508289",
            "telephone_number": "815-601-4613",
            "fax_number": "815-484-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTZ PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-01",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "VICTUELLES",
        "authorized_official_first_name": "ZOSIMA",
        "authorized_official_middle_name": "ABIVA",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "630-890-7530",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "041326250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Lynn Losik, RN BSN
• Maureen P. Lossmann
• Holly Marie Loud, D.O
• Laura J Louthain-Walrod, M.D.
• Velislava Valentinova Lozeva, DO
• LTZ Physical Therapy Center Corp
• LTZ Physical Therapy Center Inc
• Leighanna J Lucas, M.A.
• Natalie Luce, DDS
• Lisa Luedtke

• Physical Therapy Clinic/Center in McHenry, IL
• Providers in McHenry, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.