Doc's PT LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

070014101 Issued in IL

Legal business name

DOC'S PT LLC

Practice address

1211 Washington Ave
Wilmette, IL 60091-2520

Phone

(847) 542-4868

NPI assigned

Aug 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Richard Bryant Colosi, DPT, FAFS, FMRNPI 1588815583

Title

President

Phone

(847) 542-4868

Specialties & licenses 1

Addresses

Practitioners 1

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

• Richard B Colosi, PT

  • Physical Therapist
  • Wilmette, IL
  • NPI 1588815583
  NPD (past) Authorized official

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1972850949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1898 MCRAE LN",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601468",
            "telephone_number": "847-542-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 WASHINGTON AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912520",
            "telephone_number": "847-542-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC'S PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "COLOSI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BRYANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-542-4868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, FAFS, FMR"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IL",
            "license": "070014101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devora's Dream, Inc
• Mackenzie Bette Difiore
• Amanda R Digangi, PT
• Mary-Claire Cathleen Dimiceli, M.S., BCBA
• Diverse Foresight, Inc. (Ms. Paula, SLP)
• Cynthia M Dodick, OTR/L
• Matthew Victor Dolce, D.D.S.
• Daniel Dominguez, PHARM.D
• Donna Parise Byrne, PT, LTD
• Laura Doyle, LPC

• Point of Service in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Point of Service in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.