Achieve Orthopedic Manual Therapy Westmont PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ACHIEVE ORTHOPEDIC MANUAL THERAPY WESTMONT PLLC

Doing business as

Achieve Orthopedic Manual Therapy Westmont LLC

Practice address

760 Pasquinelli Dr Ste 304
Westmont, IL 60559-1290

Phone

(630) 568-3076

Fax

(630) 568-3192

NPI assigned

Sep 30, 2022

Last updated

Jun 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

January Lewis Tucker

Title

Billing Director/Cred Rep.

Phone

(630) 300-3770

Specialties & licenses 1

Addresses

Other names 1

• Achieve Orthopedic Manual Therapy Westmont LLC Doing business as

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1972227171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 228",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604800228",
            "telephone_number": "630-300-3770",
            "fax_number": "630-300-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 PASQUINELLI DR STE 304",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591290",
            "telephone_number": "630-568-3076",
            "fax_number": "630-568-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE ORTHOPEDIC MANUAL THERAPY WESTMONT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "LEWIS TUCKER",
        "authorized_official_first_name": "JANUARY",
        "authorized_official_title_or_position": "BILLING DIRECTOR/CRED REP.",
        "authorized_official_telephone_number": "630-300-3770"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achieve Orthopedic Manual Therapy Westmont LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Achieve Orthopedic Manual Therapy Westmont LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Westmont, IL
• Providers in Westmont, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.