PHYSIOTHERAPY ASSOCIATES INC NPI 1023146818

Clinic/Center (Physical Therapy) in Bloomingdale, IL

About PHYSIOTHERAPY ASSOCIATES INC

Physiotherapy Associates Inc is a provider in Bloomingdale, IL. The NPI number assigned to this provider is 1023146818. The practitioner's primary taxonomy code is Clinic/Center (261QP2000X). The provider is registered as an organization and their NPI record was last updated 9 years ago.

NPI

1023146818

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NamePHYSIOTHERAPY ASSOCIATES INC
Provider Location Address154 S BLOOMINGDALE RD SUITE 103 BLOOMINGDALE, IL 60108 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2300 COIT RD SUITE 300 PLANO, TX 75075 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date03-01-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date06-24-2009 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

PHYSIOTHERAPY ASSOCIATES INC
154 S BLOOMINGDALE RD
SUITE 103
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 307-2004
Fax: (630) 307-7184
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Mailing Address

PHYSIOTHERAPY ASSOCIATES INC
2300 COIT RD
SUITE 300
PLANO, TX
ZIP 75075
Phone: (469) 467-8705
Fax: (267) 321-2550

Primary Taxonomy

Taxonomy Code261QP2000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPhysical Therapy
License No.070004543
License StateIL

Authorized Official

Authorized Official Name RICHARD S. BINSTEIN Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleEXECUTIVE VICE PRESIDENT
Authorized Official Phone(610) 644-7824

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
14666701MEDICARE OSCAR/CERTIFICATION (06)IL

Map Location


PHYSIOTHERAPY ASSOCIATES INC address is 154 S BLOOMINGDALE RD SUITE 103 BLOOMINGDALE, IL 60108

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346490661 JACEK LASKO PT
Individual
Physical Therapist154 S BLOOMINGDALE RD STE 103
BLOOMINGDALE, IL 60108
(630) 307-2004
Previous NPI
1023146800
Next NPI
1023146826