Organization Active NPI

MMF Physical Therapy LLC

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1083359459
Registry record updated Apr 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MMF PHYSICAL THERAPY LLC
Practice address
1030 W North Ave Ste 307
Chicago, IL 60642-2500
Phone
(815) 243-2118
NPI assigned
Apr 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2022

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

Authorized official

Name
Molly Foreman, PTNPI 1811127277
Title
Owner of Business
Phone
(815) 243-2118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1030 W North Ave Ste 307
Chicago, IL 60642-2500

Mailing address

1030 W North Ave Ste 307
Chicago, IL 60642-2500
Phone (815) 243-2118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220614001632 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052790508 Receives reassigned benefits from 3 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

1030 W North Ave
Ste 307
Chicago, IL 60642
Phone (773) 312-4188

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1651276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651276800000",
    "number": "1083359459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 W NORTH AVE STE 307",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422500",
            "telephone_number": "815-243-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W NORTH AVE STE 307",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422500",
            "telephone_number": "815-243-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMF PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-30",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "OWNER OF BUSINESS",
        "authorized_official_telephone_number": "815-243-2118",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "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 Apr 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.