Organization Active NPI

Lynda Ross Physical Therapy Services, P.C.

  • Physical Therapist
  • Bolingbrook, IL
National Provider Identifier
1962674622
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LYNDA ROSS PHYSICAL THERAPY SERVICES, P.C.
Practice address
1212 Bush Blvd
Bolingbrook, IL 60490-3298
Phone
(630) 759-9273
Fax
(630) 759-9274
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Lynda M Ross, PT
Title
Owner/Physical Therapist
Phone
(630) 759-9273

Specialties & licenses 1

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

Addresses

Primary practice location

1212 Bush Blvd
Bolingbrook, IL 60490-3298

Mailing address

1212 Bush Blvd
Bolingbrook, IL 60490-3298
Phone (630) 759-9273

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1962674622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 BUSH BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604903298",
            "telephone_number": "630-759-9273",
            "fax_number": "630-759-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BUSH BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604903298",
            "telephone_number": "630-759-9273",
            "fax_number": "630-759-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDA ROSS PHYSICAL THERAPY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "630-759-9273",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.