PENTAFIL PHYSICAL THERAPY SERVICE (NPI# 1346368347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346368347 |
| Entity Type | Organization |
| Organization Name | PENTAFIL PHYSICAL THERAPY SERVICE |
| Practice Address |
790 Royal Saint George Dr Suite 105 Naperville IL 60563-8955 |
| Practice Telephone | 6305276370 |
| Practice Fax Number | 6305276374 |
| Mailing Telephone | 6305276370 |
| Mailing Fax Number | 6305276374 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | MISS OLYMPHIA ROLDAN TESORO (PRESIDENT) |
| Authorized Official Telephone | 6305276370 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 2215734 | 01 |
| Street Address |
790 ROYAL SAINT GEORGE DR SUITE 105 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-8955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083880322 | Olymphia Roldan Tesoro | Physical Therapist | 790 Royal Saint George Dr, Ste. 105, Naperville, IL 60563-8955 | 2008-05-06 |
| 1194998310 | Pentafil Physical Therapy Services | Clinic/Center | 790 Royal Saint George Dr, Ste. 105, Naperville, IL 60563-8955 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124653894 | Rci (wrs), Inc. | Clinic/Center | 1020 E Ogden Ave Ste 207, Naperville, IL 60563-8610 | 2020-03-03 |
| 1164602322 | Naperville Senior Care | Clinic/Center | 2255 Monarch Drive, Naperville, IL 60563 | 2007-11-05 |
| 1750328324 | Manor Care of Naperville Il LLC | Clinic/Center | 200 W Martin Ave, Naperville, IL 60540-6516 | 2006-06-01 |
| 1235104571 | American Physical Therapy & Sports Medicine Clinic | Clinic/Center | 1783 South Washington, American Physical Therapy & Sports Medicine Clinic, Naperville, IL 60565 | 2006-02-21 |
| 1821602913 | Rci (wrs), LLC. | Clinic/Center | 1804 Centre Point Cir Ste 102, Naperville, IL 60563-4849 | 2020-09-04 |
| 1295349389 | Rci (wrs), LLC. | Clinic/Center | 1315 Macom Dr Ste 103, Naperville, IL 60564-9360 | 2020-09-04 |
| 1578124426 | Physiotherapy Associates, Inc. | Clinic/Center | 1315 Macom Dr Ste 103, Naperville, IL 60564-9360 | 2019-06-21 |
| 1750419461 | Physiotherapy Associates Inc | Clinic/Center | 1804 Centre Point Cir, Ste 102, Naperville, IL 60563-4849 | 2007-03-02 |
| 1821034323 | Integrity Physical Therapy, Inc. | Clinic/Center | 1804 N Naper Blvd, Suite 304, Naperville, IL 60563-9409 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243020 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 2500 Williamson County Pkwy, Suite B, Marion, IL 62959-5271 | 2020-10-23 |
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1093320855 | Rci (wrs), LLC. | Clinic/Center | 17 West 580 Butterfield Road, Oakbrook Terrace, IL 60181 | 2020-09-09 |
| 1558975706 | Rci (wrs), LLC. | Clinic/Center | 370 Bank Dr, Mchenry, IL 60050-0506 | 2020-09-04 |
| 1588278741 | Rci (wrs), LLC. | Clinic/Center | 1151 S State St, Chicago, IL 60605-2304 | 2020-09-04 |
| 1487268553 | Rci (wrs), LLC. | Clinic/Center | 15 Tower Ct Ste 235, Gurnee, IL 60031-3354 | 2020-09-04 |
| 1285248351 | Rci (wrs), LLC. | Clinic/Center | 884 S Rand Rd Ste A, Lake Zurich, IL 60047-3412 | 2020-09-04 |
| 1295349355 | Rci (wrs), LLC. | Clinic/Center | 140 N Addison Ave Fl 2, Elmhurst, IL 60126-2810 | 2020-09-04 |
| 1043824287 | Rci (wrs), LLC. | Clinic/Center | 1525 E 55th St Ste 305, Chicago, IL 60615-5576 | 2020-09-04 |
| 1396359469 | Rci (wrs), LLC. | Clinic/Center | 939 W North Ave Ste 300, Chicago, IL 60642-7139 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.