Active NPI
Jenna Chavka
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070020924
- Practice address
- 4412 S Pulaski Rd
Chicago, IL 60632 - Phone
- (773) 847-3123
- Fax
- (773) 847-3778
- NPI assigned
- Aug 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070020924 | IL | Primary |
Addresses
Primary practice location
4412 S Pulaski Rd
Chicago, IL 60632
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
407 N Lagrange Rd
Lagrange Park, IL 60526-5623
Phone (708) 482-9320
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Orland Park Integrated Health,LTD. | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients |
Locations
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
4412 S Pulaski Rd
Chicago, IL 60632
Phone (773) 847-3123
6502 Joliet Rd
Ste B
Countryside, IL 60525
Phone (708) 352-0547
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
1294 S US Highway 12
Fox Lake, IL 60020
Phone (847) 973-9440
43 Bankview Dr
Frankfort, IL 60423
Phone (815) 469-6676
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
300 S State St
Marengo, IL 60152
Phone (815) 568-4550
9441 W 144th Pl
Ste 200
Orland Park, IL 60462
Phone (708) 403-2727
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
426 E 162nd St
South Holland, IL 60473
Phone (708) 333-0677
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
-
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
- Physical Medicine & Rehabilitation Physician
- Orland Park, IL
- NPI 1144766882
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1053711283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4412 S PULASKI RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60632",
"telephone_number": "773-847-3123",
"fax_number": "773-847-3778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVKA",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070020924",
"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 Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.