Active NPI
Garrett Petry, PT, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1144646233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070020577
- Practice address
- 211 N Clinton St Ste 2N
Chicago, IL 60661-1283 - Phone
- (877) 709-1090
- Fax
- (866) 221-3400
- NPI assigned
- Mar 13, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070020577 | IL | Primary |
Addresses
Primary practice location
211 N Clinton St Ste 2N
Chicago, IL 60661-1283
Mailing address
211 N Clinton St Ste 2N
Chicago, IL 60661-1283
Phone (877) 709-1090
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 |
|---|---|---|---|
| 070020577 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motivity Physical Therapy and Performance PC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Solana Beach, CA
- NPI 1972339570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144646233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 N CLINTON ST STE 2N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606611283",
"telephone_number": "877-709-1090",
"fax_number": "866-221-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N CLINTON ST STE 2N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606611283",
"telephone_number": "877-709-1090",
"fax_number": "866-221-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRY",
"first_name": "GARRETT",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070020577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.