Active NPI
Nathan Deblauw, DPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070025121
- Practice address
- 1214 W Loyola Ave
Chicago, IL 60626-5102 - Phone
- (773) 274-1769
- Fax
- (773) 274-1937
- NPI assigned
- Sep 1, 2020
- Last updated
- Sep 1, 2020
- Sex
- Male
- 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 | 070025121 | IL | Primary |
Addresses
Primary practice location
1214 W Loyola Ave
Chicago, IL 60626-5102
Mailing address
1214 W Loyola Ave
Chicago, IL 60626-5102
Phone (773) 274-1769
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1030 N Clark St
FL 6
Chicago, IL 60610-5467
Phone (312) 900-9595
1030 W N Ave
Suite 307
Chicago, IL 60642-2500
Phone (815) 243-2118
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070025121 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rci (WRS), Inc. | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Rci (WRS), LLC. | Physical Therapist | Current | Accepting new patients |
| Rci (WRS), LLC | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Physical Therapist | Current | Accepting new patients |
Locations
1030 N Clark St
Fl 6
Chicago, IL 60610
Phone (312) 900-9595
1214 W Loyola Ave
Chicago, IL 60626
Phone (773) 274-1769
1835 Solutions Ctr
Chicago, IL 60677
2930 S Michigan Ave
Ste 107
Chicago, IL 60616
Phone (312) 842-3919
2500 Williamson County Pkwy
Ste B
Marion, IL 62959
Phone (618) 997-9497
1804 Centre Point Cir
Ste 102
Naperville, IL 60563
Phone (630) 955-1940
9000 W College Pkwy
Palos Hills, IL 60465
Phone (618) 529-3201
826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba RUSH Physical Therapy
- Physical Therapy Clinic/Center
- Mount Prospect, IL
- NPI 1417561655
Physical Therapist
-
dba NovaCare Rehabilitation
- Rehabilitation Clinic/Center
- Benton, IL
- NPI 1992352215
-
- Physical Therapist
- Chicago, IL
- NPI 1083359459
-
- Physical Therapy Clinic/Center
- Mokena, IL
- NPI 1568160950
-
- Physical Therapy Clinic/Center
- Chicago, IL
- NPI 1942475488
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1083228654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 W LOYOLA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606265102",
"telephone_number": "773-274-1769",
"fax_number": "773-274-1937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 W LOYOLA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606265102",
"telephone_number": "773-274-1769",
"fax_number": "773-274-1937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBLAUW",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-01",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070025121",
"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 1, 2020; 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.