Active NPI
Exemplar Physical Therapy, Inc
- Physical Therapy Clinic/Center
- Chicago, IL
National Provider Identifier
1043775844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- EXEMPLAR PHYSICAL THERAPY, INC
- Practice address
- 1830 W Foster Ave Ste CW
Chicago, IL 60640-1087 - Phone
- (773) 516-4146
- NPI assigned
- Feb 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacey Knowles, PT
- Title
- President/Owner
- Phone
- (773) 516-4146
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1830 W Foster Ave Ste CW
Chicago, IL 60640-1087
Mailing address
1830 W Foster Ave Unit CW
Chicago, IL 60640-1087
Phone (773) 516-4146
National Provider Directory
National Provider DirectoryLocations
4636 N Ravenswood Ave
Ste 101
Chicago, IL 60640
Phone (773) 516-4146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563753600000",
"number": "1043775844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 W FOSTER AVE UNIT CW",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606401087",
"telephone_number": "773-516-4146",
"fax_number": "773-961-7922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 W FOSTER AVE STE CW",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606401087",
"telephone_number": "773-516-4146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXEMPLAR PHYSICAL THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-05",
"last_updated": "2019-07-22",
"status": "A",
"authorized_official_last_name": "KNOWLES",
"authorized_official_first_name": "STACEY",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "773-516-4146",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"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 Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.