Axis Physical Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070020316 Issued in IL

Legal business name

AXIS PHYSICAL MEDICINE

Practice address

11005 S Kedzie Ave
Chicago, IL 60655

Phone

(773) 239-7165

NPI assigned

Jun 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael Hausch, DCNPI 1972791184

Title

Medical Director

Phone

(773) 239-7165

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Michael William Hausch, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1972791184
  NPD (past) Authorized official

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1134533615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60655",
            "telephone_number": "773-239-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60655",
            "telephone_number": "773-239-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "HAUSCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-239-7165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN/MEDICARE",
            "identifier": "F400120638",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Axios Medical Equipment, Inc
• Axira Health, PLLC
• Axis Healthcare Services, Inc.
• Axis Home Care Services LLC
• Axis Medical Management Goup SC
• Christopher Michael Robert Axline
• Lauren Anne Axton, PSY.D.
• Aya Counseling LLC
• Aya Dental
• Carolina Ayala, PA-C

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.