Active NPI
Iron Mind Rehab and Performance LLC
- Physical Therapist
- Chicago, IL
National Provider Identifier
1174374235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- IRON MIND REHAB AND PERFORMANCE LLC
- Practice address
- 2861 N Clybourn Ave
Chicago, IL 60618-8201 - Phone
- (314) 698-7594
- NPI assigned
- Mar 28, 2024
- 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
- Rebecca Ward, DPT
- Title
- Owner, Physical Therapist
- Phone
- (314) 698-7594
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2861 N Clybourn Ave
Chicago, IL 60618-8201
Mailing address
1712 W Wilson Ave Apt 3E
Chicago, IL 60640-4540
Phone (314) 698-7594
National Provider Directory
National Provider DirectoryLocations
2861 N Clybourn Ave
Chicago, IL 60618
Phone (314) 698-7594
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Chicago, IL
- NPI 1972116390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711584000000",
"number": "1174374235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 W WILSON AVE APT 3E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606404540",
"telephone_number": "314-698-7594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2861 N CLYBOURN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606188201",
"telephone_number": "314-698-7594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRON MIND REHAB AND PERFORMANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-28",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
"authorized_official_telephone_number": "314-698-7594",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"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 Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.