Organization Active NPI

Exemplar Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1043775844
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Jul 22, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.