Organization Active NPI

Paradigm Rehab and Consultancy Inc

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1023623055
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PARADIGM REHAB AND CONSULTANCY INC
Practice address
2711 N McVicker Ave
Chicago, IL 60639-1115
Phone
(737) 727-0798
Fax
(773) 688-9682
NPI assigned
Sep 15, 2020
Last updated
Sep 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Jose Vicente Inocencio
Title
Cfo
Phone
(737) 727-0798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2711 N McVicker Ave
Chicago, IL 60639-1115

Mailing address

2711 N McVicker Ave
Chicago, IL 60639-1115
Phone (737) 727-0798

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1023623055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 N MCVICKER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391115",
            "telephone_number": "737-727-0798",
            "fax_number": "773-688-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 N MCVICKER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391115",
            "telephone_number": "737-727-0798",
            "fax_number": "773-688-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM REHAB AND CONSULTANCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "INOCENCIO",
        "authorized_official_first_name": "JOSE VICENTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "737-727-0798"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.