PHYSICALLY PHIT (NPI# 1275706368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275706368 |
| Entity Type | Organization |
| Organization Name | PHYSICALLY PHIT |
| Practice Address |
2320 N Damen Ave Ste 1r Chicago IL 60647-3359 |
| Practice Telephone | 7734890001 |
| Practice Fax Number | 7734890003 |
| Mailing Telephone | 7734890001 |
| Mailing Fax Number | 7734890003 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |
| Authorized Official Name | POONAM BHARGAVA (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3122851090 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2320 N DAMEN AVE STE 1R |
| City | CHICAGO |
| State | IL |
| Zip Code | 60647-3359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
| 1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
| 1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
| 1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
| 1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
| 1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
| 1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
| Find all providers in zip 60647 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760529 | Max Whiting | Physical Therapist | 711 W Maxwell St, Chicago, IL 60607-5016 | 2020-04-29 |
| 1043830540 | Natalie Johanna Farah | Physical Therapist | 123 W Madison St Ste 200, Chicago, IL 60602-4632 | 2020-04-24 |
| 1215545249 | Lauren Wiske | Physical Therapist | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2020-07-15 |
| 1114486099 | Brett Painter Dpt PC | Physical Therapist | 1115 W Armitage Ave, Chicago, IL 60614-4103 | 2019-03-19 |
| 1922567809 | Movement Synergy Physical Therapy, LLC | Physical Therapist | 1115 W Armitage Ave, Chicago, IL 60614-4103 | 2019-03-19 |
| 1497984629 | Cristen L Carlson | Physical Therapist | 6560 W Fullerton Ave, Chicago, IL 60707-3439 | 2009-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316185168 | Brian Cunningham | Physical Therapist | 417 Glenview Rd, Glenview, IL 60025-3262 | 2009-02-02 |
| 1700046315 | Michelle Marie Bettuzzi | Physical Therapist | 1021 Vine Ave, Park Ridge, IL 60068-4855 | 2008-06-17 |
| 1184830812 | Jeremy Smith | Physical Therapist | 1920 Football Dr, Lake Forest, IL 60045-4829 | 2007-05-16 |
| 1386868701 | Eryn Kubinski | Physical Therapist | 115 Republic Ave, Joliet, IL 60435-6570 | 2007-04-13 |
| 1720166655 | Gregory Given | Physical Therapist | 407 E Terra Cotta Ave Ste E, Crystal Lake, IL 60014-3602 | 2006-11-01 |
| 1912989252 | Richard Wager | Physical Therapist | 2346 Mascoutah Ave, Belleville, IL 62220-3499 | 2005-11-14 |
| 1811533953 | United Methodist Homes and Services | Physical Therapist | 439 Bohland Ave, Bellwood, IL 60104 | 2019-11-25 |
| 1538613674 | Catalyst Physiotherapy, Performance, & Wellness LLC | Physical Therapist | 710 E Railroad St, Sandwich, IL 60548 | 2016-08-05 |
| 1568702686 | Mrunal Gautam Chokshi | Physical Therapist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2013-02-26 |
| 1336445170 | Wanasinghe Jayasena | Physical Therapist | 211 Waukegan Rd, Ste 300, Northfield, IL 60093-2757 | 2011-01-26 |
| Find all providers with the same taxonomy | ||||
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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.