Organization Active NPI

Justin Zelenka Physical Therapy Inc

  • Physical Therapist
  • Lombard, IL
National Provider Identifier
1154857068
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018328 Issued in IL
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

Updated by the provider on Jul 11, 2017

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.