Active NPI
Direct Mobile PT and Wellness, LLC
- Geriatric Physical Therapist
- Wheaton, IL
National Provider Identifier
1992310247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- Legal business name
- DIRECT MOBILE PT AND WELLNESS, LLC
- Practice address
- 0N553 Dorchester Ave
Wheaton, IL 60187-1709 - Phone
- (773) 552-0427
- NPI assigned
- Sep 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Dee, PT
- Title
- Owner
- Phone
- (773) 552-0427
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | Primary |
Addresses
Primary practice location
0N553 Dorchester Ave
Wheaton, IL 60187-1709
Mailing address
0N553 Dorchester Ave
Wheaton, IL 60187-1709
Phone (773) 552-0427
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Easton, PA
- NPI 1528201662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600041600000",
"number": "1992310247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "0N553 DORCHESTER AVE",
"city": "WHEATON",
"state": "IL",
"postal_code": "601871709",
"telephone_number": "773-552-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "0N553 DORCHESTER AVE",
"city": "WHEATON",
"state": "IL",
"postal_code": "601871709",
"telephone_number": "773-552-0427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIRECT MOBILE PT AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-14",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A",
"authorized_official_last_name": "DEE",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-552-0427",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.