Active NPI
Rebekah Carol Chung, PT, DPT
- Physical Therapist
- Glenview, IL
National Provider Identifier
1134595119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070021648
- Practice address
- 41 Waukegon Road
Glenview, IL 60025 - Phone
- (847) 707-6744
- NPI assigned
- Aug 13, 2015
- Sex
- Female
- Sole proprietor
- No
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.
-
- Pediatric Physical Therapist
- Skokie, IL
- NPI 1134408305
-
- Clinic/Center
- Glenview, IL
- NPI 1720533367
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.021648 | IL | MD | Physical Therapist |
| 070021648 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Steps Pediatric Physical Therapy, PC | Past | Accepting new patients | |
| Little Steps Pediatric Physical Therapy PC | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.021648 | IL | |
| Physical Therapist | 225100000X | 070021648 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
41 Waukegon Road
Glenview, IL 60025
Mailing address
41 Waukegon Road
Glenview, IL 60025
Phone (847) 707-6744
Other names 1
NPPES NPI Registry- Rebekah Carol Lavin
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 30, 2020.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1134595119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 WAUKEGON ROAD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "60025",
"telephone_number": "847-707-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 WAUKEGON ROAD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "60025",
"telephone_number": "847-707-6744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "REBEKAH",
"middle_name": "CAROL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-13",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.021648",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070021648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBEKAH",
"last_name": "LAVIN",
"middle_name": "CAROL",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.