INDEPTH PHYSICAL THERAPY, P.C. (NPI# 1417432253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417432253 |
Entity Type | Organization |
Organization Name | INDEPTH PHYSICAL THERAPY, P.C. |
Practice Address |
2549 N Racine Ave Chicago IL 60614-2131 |
Practice Telephone | 3312308796 |
Mailing Telephone | 3312308796 |
Mailing Fax Number | 7737979404 |
Enumeration Date | 2018-09-27 |
Last Update Date | 2019-02-08 |
Authorized Official Name | STEPHANIE KORSO (PHYSICAL THERAPIST, OWNER) |
Authorized Official Telephone | 3312308796 |
Authorized Official Credential | PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Street Address |
2549 N RACINE AVE |
City | CHICAGO |
State | IL |
Zip Code | 60614-2131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598163735 | Stephanie Korso | Physical Therapist | 2549 N Racine Ave, Chicago, IL 60614-2131 | 2014-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
Find all providers in zip 60614 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
1275152746 | Freeform Physical Therapy LLC | Clinic/Center | 2906 W Fullerton Ave, Chicago, IL 60647-2921 | 2020-04-14 |
1730736158 | Achieve Performance Lab LLC | Clinic/Center | 1940 W Lawrence Ave Apt 3w, Chicago, IL 60640-4012 | 2019-08-20 |
1255997862 | Urban Physical Therapy LLC | Clinic/Center | 345 E Ohio St Apt 2807, Chicago, IL 60611-4065 | 2019-05-20 |
1760047179 | Remedy Physical Therapy and Wellness | Clinic/Center | 4636 N Kenmore Ave # 2, Chicago, IL 60640-5039 | 2019-05-01 |
1780248864 | Customfit Concierge Medicine, Health and Fitness LLC | Clinic/Center | 1413 W Fillmore St Apt 2, Chicago, IL 60607-4716 | 2019-04-24 |
1801356175 | Kinetic Care Physical Therapy LLC | Clinic/Center | 3245 N Ashland Ave Apt 2a, Chicago, IL 60657-4087 | 2019-03-22 |
1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
1699272864 | Athletico, Ltd. | Clinic/Center | 2520 N Elston Ave, Chicago, IL 60647-2004 | 2018-04-12 |
Find all providers in CHICAGO |
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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.