Advanced Therapeutic Motion, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070018357 Issued in IL

Legal business name

ADVANCED THERAPEUTIC MOTION, P.C.

Practice address

1820 W Irving Park Rd
Chicago, IL 60613-2406

Phone

(773) 852-3335

Fax

(773) 313-3538

NPI assigned

Apr 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Jacobazzi, P.T.NPI 1396758603

Title

Owner

Phone

(773) 316-2400

Specialties & licenses 1

Addresses

Other names 1

• ATM Doing business as

Locations

Practitioners 1

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

• Daniel Joseph Jacobazzi, P.T.

  • Physical Therapist
  • Chicago, IL
  • NPI 1396758603
  NPD Authorized official

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1053677922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132406",
            "telephone_number": "773-852-3335",
            "fax_number": "773-313-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132406",
            "telephone_number": "773-852-3335",
            "fax_number": "773-313-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPEUTIC MOTION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "JACOBAZZI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-316-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ATM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 May 2, 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.