Organization Active NPI

Take Pride Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1184249930
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TAKE PRIDE PHYSICAL THERAPY, PLLC
Practice address
4001 N Ravenswood Ave Ste 402
Chicago, IL 60613-2434
Phone
(917) 579-8250
NPI assigned
Jun 8, 2020
Last updated
Jun 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sarah Ecker, PT, DPTNPI 1174893077
Title
Doctor of Physical Therapy, Owner
Phone
(917) 579-8250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4001 N Ravenswood Ave Ste 402
Chicago, IL 60613-2434

Mailing address

3700 W Dickens Ave
Chicago, IL 60647-3409

National Provider Directory

National Provider Directory

Locations

4001 N Ravenswood Ave
Ste 402
Chicago, IL 60613
Phone (773) 755-9214

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1184249930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W DICKENS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N RAVENSWOOD AVE STE 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132434",
            "telephone_number": "917-579-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE PRIDE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "ECKER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY, OWNER",
        "authorized_official_telephone_number": "917-579-8250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "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 Jun 11, 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.

Verify at the official NPI Registry.