THERAPY PROVIDERS OF TINLEY PARK LTD. (NPI# 1609917483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609917483 |
| Entity Type | Organization |
| Organization Name | THERAPY PROVIDERS OF TINLEY PARK LTD. |
| Practice Address |
16650 Harlem Ave Tinley Park IL 60477-1847 |
| Practice Telephone | 7083421000 |
| Practice Fax Number | 7083421143 |
| Mailing Telephone | 7083421000 |
| Mailing Fax Number | 7083421143 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-04-11 |
| Authorized Official Name | MASHKOOR ALI KHAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7082299828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 1636177 | 01 |
| IL | OWCP DEPT OF LABOR | 611221100 | 01 |
| Street Address |
16650 HARLEM AVE |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578562781 | Hassan A Ibrahim | Internal Medicine | 16650 Harlem Ave, Suite C, Tinley Park, IL 60477-1847 | 2005-07-19 |
| 1538571443 | Campbell Health Solutions Sc | Family Medicine | 16650 Harlem Ave, Suite 6, Tinley Park, IL 60477-1847 | 2014-05-27 |
| 1932442209 | South Star Plus Pharmacy | Pharmacy | 16650 Harlem Ave, Tinley Park, IL 60477-1847 | 2013-04-04 |
| 1831454347 | Discount Drugs Inc | Pharmacy | 16650 Harlem Ave, Tinley Park, IL 60477-1847 | 2012-07-10 |
| 1275763245 | Abdol H Azaran Md Sc | Internal Medicine | 16650 Harlem Ave, Tinley Park, IL 60477-1847 | 2009-07-23 |
| 1154562080 | Roy James Bardwell Jr. | Family Medicine | 16650 Harlem Ave, Suite 6, Tinley Park, IL 60477-1847 | 2009-03-24 |
| 1114105764 | Thomas J Conti Md Dba Illinois Oculoplastic Associates Sc | Ophthalmology | 16650 Harlem Ave, Tinley Park, IL 60477-1847 | 2008-02-06 |
| 1871583781 | Illinois Oculoplastic Associates Sc | Ophthalmology | 16650 Harlem Ave, Tinley Park, IL 60477-1847 | 2005-10-24 |
| 1376533380 | Primary Care Partners LLC | Family Medicine | 16650 Harlem Ave, Tinley Park, IL 60477-1847 | 2005-10-21 |
| 1437143013 | Adeebur Rahman | Internal Medicine | 16650 Harlem Ave, Tinley Park, IL 60477-1847 | 2005-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1962915207 | Gretchen Liska | Physical Therapist | 17129 S. Harlem Ave., B3, Tinley Park, IL 60477-7581 | 2017-11-08 |
| 1144769258 | Amy Beckman | Physical Therapist | 9518 179th St, Tinley Park, IL 60487-9602 | 2017-02-22 |
| 1477939122 | Monica Vandervoort | Physical Therapist | 16651 S. Harlem Ave, Tinley Park, IL 60477 | 2015-08-05 |
| 1750718722 | Venita Wiegand Bruss | Physical Therapist | 6943 Olde Gatehouse Rd, Tinley Park, IL 60477-6851 | 2013-10-04 |
| 1285901876 | Kelly Dunn | Physical Therapist | 18425 W Creek Dr Ste B, Tinley Park, IL 60477-6768 | 2011-11-26 |
| 1659518082 | John Kissane | Physical Therapist | 18660 Graphics Drive, Tinley Park, IL 60477 | 2009-01-07 |
| 1235398512 | Andrea Lacoy Lee | Physical Therapist | 17837 S 80th Ave, Tinley Park, IL 60477 | 2008-06-03 |
| Find all providers in TINLEY PARK | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
Please comment or provide details below to improve the information on THERAPY PROVIDERS OF TINLEY PARK LTD..
| 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.