Provider Type Icon

NORTHWESTERN UNIVERSITY INTERCOLLEGIATE SPORTS MEDICINE NPI 1750612115


NPI Information

NPI: 1750612115
Provider Name: NORTHWESTERN UNIVERSITY INTERCOLLEGIATE SPORTS MEDICINE
Classification: Clinic/Center - 261QP2000X
Entity Type: Organization

Specialization: Physical Therapy

CLIA Number: 14D2211656

Address:
2703 ASHLAND AVE
NORTHWESTERN UNIVERSITY SPORTS MEDICINE
EVANSTON, IL
ZIP 60208
Phone: (847) 467-6791
Get Directions

NORTHWESTERN UNIVERSITY INTERCOLLEGIATE SPORTS MEDICINE is a physical therapy clinic center in Evanston, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. NORTHWESTERN UNIVERSITY INTERCOLLEGIATE SPORTS MEDICINE NPI is 1750612115. The provider is registered as an organization entity type.

The provider's business location address is:

2703 ASHLAND AVE
NORTHWESTERN UNIVERSITY SPORTS MEDICINE
EVANSTON, IL
ZIP 60208-001
Phone: (847) 467-6791
Fax: (847) 491-8865

The provider's authorized official is Lisa Krantz .
The authorized official title is Rehabilitation Coordinator and has the following contact phone number (847) 467-6791.

The CLIA number assigned to this NPI record is 14D2211656 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2010 and was last updated on 4/21/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2000XClinic/CenterPhysical TherapyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.