Organization Active NPI

Moffett Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Elgin, IL
National Provider Identifier
1932598422
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MOFFETT PHYSICAL THERAPY, INC.
Practice address
2410 Alft LN
Suite 100
Elgin, IL 60124-7843
Phone
(224) 535-9778
Fax
(847) 669-8211
NPI assigned
Jan 21, 2015
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Loretta Quinlan
Title
Office Manager
Phone
(847) 659-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2410 Alft LN
Suite 100
Elgin, IL 60124-7843

Mailing address

12531 Regency Pkwy
Huntley, IL 60142-6500
Phone (847) 659-1000

National Provider Directory

National Provider Directory
Tax ID family
Moffett Physical Therapy in4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1932598422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12531 REGENCY PKWY",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426500",
            "telephone_number": "847-659-1000",
            "fax_number": "847-659-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 ALFT LN",
            "address_2": "SUITE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601247843",
            "telephone_number": "224-535-9778",
            "fax_number": "847-669-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOFFETT PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "QUINLAN",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-659-1000"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.