Active NPI
Justin Zelenka Physical Therapy Inc
- Physical Therapist
- Lombard, IL
National Provider Identifier
1154857068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070018328
- Legal business name
- JUSTIN ZELENKA PHYSICAL THERAPY INC
- Practice address
- 343 Gazebo LN
Lombard, IL 60148-7121 - Phone
- (630) 532-0780
- NPI assigned
- May 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Paul Zelenka, DPT
- Title
- President Physical Therapist
- Phone
- (630) 686-2284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070018328 | IL | Primary |
Addresses
Primary practice location
343 Gazebo LN
Lombard, IL 60148-7121
Mailing address
343 Gazebo LN
Lombard, IL 60148-7121
Phone (630) 532-0780
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499731200000",
"number": "1154857068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 GAZEBO LN",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601487121",
"telephone_number": "630-532-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 GAZEBO LN",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601487121",
"telephone_number": "630-532-0780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUSTIN ZELENKA PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2017-07-11",
"status": "A",
"authorized_official_last_name": "ZELENKA",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT PHYSICAL THERAPIST",
"authorized_official_telephone_number": "630-686-2284",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": "070018328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.