Organization Active NPI

Physical Therapy and Sports Injury Rehabilitation, LTD

  • Massage Therapist
  • Hazel Crest, IL
National Provider Identifier
1093727018
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PHYSICAL THERAPY AND SPORTS INJURY REHABILITATION, LTD
Practice address
1816 170TH St
Hazel Crest, IL 60429-1451
Phone
(708) 335-1415
Fax
(708) 335-0115
NPI assigned
Aug 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Gregory Walter Kaumeyer
Title
Co-Owner
Phone
(708) 335-1415

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X
Physical Therapist 225100000X
Physical Therapy Assistant 225200000X
Athletic Trainer 2255A2300X
Massage Therapist 225700000X Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

1816 170TH St
Hazel Crest, IL 60429-1451

Mailing address

1816 170TH St
Hazel Crest, IL 60429-1451
Phone (708) 335-1415

National Provider Directory

National Provider Directory

Locations

1816 170th St
Hazel Crest, IL 60429
Phone (708) 335-1415

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093727018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 170TH ST",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291451",
            "telephone_number": "708-335-1415",
            "fax_number": "708-335-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 170TH ST",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291451",
            "telephone_number": "708-335-1415",
            "fax_number": "708-335-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND SPORTS INJURY REHABILITATION, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KAUMEYER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "708-335-1415"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.