Physical Therapy Clinic of Chicago, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY CLINIC OF CHICAGO, P.C.

Practice address

6135 W Belmont Ave
Chicago, IL 60634-5165

Phone

(773) 237-7827

Fax

(773) 237-7826

NPI assigned

Apr 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jaroslaw Prus, P.T.NPI 1447388657

Title

President

Phone

(773) 237-7827

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaroslaw Prus, P.T.

  • Physical Therapist
  • Chicago, IL
  • NPI 1447388657
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003036344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345165",
            "telephone_number": "773-237-7827",
            "fax_number": "773-237-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345165",
            "telephone_number": "773-237-7827",
            "fax_number": "773-237-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CLINIC OF CHICAGO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRUS",
        "authorized_official_first_name": "JAROSLAW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-237-7827",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD OF",
            "identifier": "01633218",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physical Sciences Institute, Inc.
• Physical Therapy & Rehab Net Inc
• Physical Therapy 360 Inc
• Physical Therapy and Cosmetology Integrated
• Physical Therapy Chicago, LTD
• Physical Therapy Network PC
• Physical Therapy Practice LTD.
• Physical Therapy Providers Inc.
• Physical Therapy Renaissance LTD
• Physical Wellness Lab, LLC

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.