Chicago Ridge Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.014202 Issued in IL

Legal business name

CHICAGO RIDGE PHYSICAL THERAPY LLC

Practice address

10255 Southwest Hwy
Chicago Ridge, IL 60415-1350

Phone

(708) 903-4105

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Amy Lohan, LPT

Title

President/Owner

Phone

(708) 903-4105

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1194170241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 SOUTHWEST HWY",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151350",
            "telephone_number": "708-903-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 SOUTHWEST HWY",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151350",
            "telephone_number": "708-903-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO RIDGE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "LOHAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "708-903-4105",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.014202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Marie Cassin, LPN
• Bassem Chaar, M.D.
• Abdullah B Chahin, MD
• Chicago Ridge Immediate Care Inc
• Chicago Ridge Medical Imaging, LLC
• Chicago Ridge Radiology SC
• Chicago Ridge Radiology SC
• Chicago Ridge Radiology SC
• Chicago Ridge Radiology, S.C.
• Chicago Ridge School District

• Physical Therapist in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.