Organization Active NPI

Houglum Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Wilmette, IL
National Provider Identifier
1952767451
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HOUGLUM PHYSICAL THERAPY, LLC
Practice address
1222 Washington CT
Suite 200
Wilmette, IL 60091-2615
Phone
(847) 251-1539
Fax
(847) 251-1539
NPI assigned
Jan 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Daniel E. Houglum, MSPT, ATC/L
Title
Owner/Physical Therapist
Phone
(262) 909-4903

Specialties & licenses 1

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

Addresses

Primary practice location

1222 Washington CT
Suite 200
Wilmette, IL 60091-2615

Mailing address

1222 Washington CT
Suite 200
Wilmette, IL 60091-2615
Phone (847) 251-1539

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": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1952767451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 WASHINGTON CT",
            "address_2": "SUITE 200",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912615",
            "telephone_number": "847-251-1539",
            "fax_number": "847-251-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 WASHINGTON CT",
            "address_2": "SUITE 200",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912615",
            "telephone_number": "847-251-1539",
            "fax_number": "847-251-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUGLUM PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "HOUGLUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "262-909-4903",
        "authorized_official_credential": "MSPT, ATC/L"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.