NPIMap

Organization Active NPI

Roscoe Village Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1235710807
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROSCOE VILLAGE PHYSICAL THERAPY PLLC
Practice address
1900 W Belmont Ave
Chicago, IL 60657-9582
Phone
(773) 729-2551
NPI assigned
Apr 15, 2021
Organization subpart
Yes
Parent organization
WEST TOWN PHYSICAL THERAPY LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Dr. Erin Conroy, DPTNPI 1144744798
Title
President/Owner
Phone
(773) 729-2551

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

1900 W Belmont Ave
Chicago, IL 60657-9582

Mailing address

1900 W Belmont Ave
Chicago, IL 60657-9582

Other names 1

  • West Town Physical Therapy at Roscoe Village Doing business as

National Provider Directory

National Provider Directory
Part of
West Town Physical Therapy LTD

Locations

859 N Ashland Ave
Chicago, IL 60622
Phone (773) 729-2551

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1235710807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579582",
            "telephone_number": "773-729-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSCOE VILLAGE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST TOWN PHYSICAL THERAPY LTD.",
        "enumeration_date": "2021-04-15",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "773-729-2551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Town Physical Therapy at Roscoe Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 4, 2022; 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.