Individual provider Active NPI

Bryan M Zehar, PTA

  • Physical Therapy Assistant
  • Joliet, IL
National Provider Identifier
1114160314
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160005150 Issued in IL
Practice address
1360 Houbolt Road
Physicians Immediate Care/North Chicago LLC
Joliet, IL 60431-9215
Phone
(815) 823-8800
Fax
(815) 729-2178
NPI assigned
Apr 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160005150 IL Primary

Addresses

Primary practice location

1360 Houbolt Road
Physicians Immediate Care/North Chicago LLC
Joliet, IL 60431-9215

Mailing address

10100 Forest Hills Rd
Physicians Immediate Care
Machesney Park, IL 61115-8234
Phone (815) 713-2738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
160005150ILMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC PastSince Sep 1, 2006 Accepting new patients
Adventist Health Partners,Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1114160314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 FOREST HILLS RD",
            "address_2": "PHYSICIANS IMMEDIATE CARE",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611158234",
            "telephone_number": "815-713-2738",
            "fax_number": "815-282-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 HOUBOLT ROAD",
            "address_2": "PHYSICIANS IMMEDIATE CARE/NORTH CHICAGO LLC",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319215",
            "telephone_number": "815-823-8800",
            "fax_number": "815-729-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEHAR",
        "first_name": "BRYAN",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160005150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.