Northwest Physical Therapy Care, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NORTHWEST PHYSICAL THERAPY CARE, LLC

Practice address

410 N Roselle Rd
Roselle, IL 60172-5004

Phone

(708) 751-8330

Fax

(630) 307-6361

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Nabil E Tawfic, MS, PT

Title

Physical Therapist, Owner

Phone

(708) 751-8330

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1952343683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N ROSELLE RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601725004",
            "telephone_number": "708-751-8330",
            "fax_number": "630-307-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N ROSELLE RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601725004",
            "telephone_number": "708-751-8330",
            "fax_number": "630-307-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PHYSICAL THERAPY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "TAWFIC",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "708-751-8330",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01636399",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.