NPIMap

Organization Active NPI

Brandon & Associates Physical Therapy

  • Physical Therapist
  • South Elgin, IL
National Provider Identifier
1952556136
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070010906 Issued in IL
Legal business name
BRANDON & ASSOCIATES PHYSICAL THERAPY
Practice address
455 Briargate Dr
Suite 100
South Elgin, IL 60177-2225
Phone
(847) 622-0506
Fax
(847) 622-0507
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Charlotte Brandon
Title
Practice Manager
Phone
(847) 622-0506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070010906 IL Primary

Addresses

Primary practice location

455 Briargate Dr
Suite 100
South Elgin, IL 60177-2225

Mailing address

455 Briargate Dr
South Elgin, IL 60177-2225
Phone (847) 622-0506

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1952556136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BRIARGATE DR",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772225",
            "telephone_number": "847-622-0506",
            "fax_number": "847-622-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BRIARGATE DR",
            "address_2": "SUITE 100",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772225",
            "telephone_number": "847-622-0506",
            "fax_number": "847-622-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON & ASSOCIATES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-622-0506"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070010906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.