Organization Active NPI

Relive Physical Therapy -95TH Street Oak Lawn

  • Physical Therapist
  • Oak Lawn, IL
National Provider Identifier
1093408940
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RELIVE PHYSICAL THERAPY -95TH STREET OAK LAWN
Practice address
5141 W 95TH St
Oak Lawn, IL 60453-2455
Phone
(708) 390-3362
NPI assigned
May 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2023

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

Authorized official

Name
James D Judge, PT
Title
Owner
Phone
(708) 390-3362

Specialties & licenses 1

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

Addresses

Primary practice location

5141 W 95TH St
Oak Lawn, IL 60453-2455

Mailing address

19070 Everett Blvd Unit 204
Mokena, IL 60448-2073
Phone (708) 390-3362

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1093408940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19070 EVERETT BLVD UNIT 204",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604482073",
            "telephone_number": "708-390-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532455",
            "telephone_number": "708-390-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIVE PHYSICAL THERAPY -95TH STREET OAK LAWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-27",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-390-3362",
        "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 Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.