Active NPI
Saker Ghanayem
- Physical Therapist
- Chicago, IL
National Provider Identifier
1245858638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070026291
- Practice address
- 1214 W. Loyola CT
Chicago, IL 60626-5102 - Phone
- (773) 274-1769
- NPI assigned
- Jul 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070026291 | IL | Primary |
| Physical Therapist | 225100000X | ME |
Addresses
Primary practice location
1214 W. Loyola CT
Chicago, IL 60626-5102
Mailing address
955 W Foster Ave Apt 111
Chicago, IL 60640-2536
Phone (207) 404-0106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1002 W Diversey Pkwy
Chicago, IL 60614-1317
Phone (773) 248-2578
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070026291 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rci (WRS), LLC | Current | Accepting new patients | |
| Rci (WRS), LLC. | Current | Accepting new patients | |
| Rci (WRS), LLC. | Physical Therapist | Current | Accepting new patients |
Locations
1002 W Diversey Pkwy
Chicago, IL 60614
Phone (773) 248-2578
1214 W Loyola Ave
Chicago, IL 60626
Phone (773) 274-1769
826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Naperville, IL
- NPI 1033755566
-
- Physical Therapy Clinic/Center
- Mokena, IL
- NPI 1568160950
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1225642382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1245858638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 W FOSTER AVE APT 111",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402536",
"telephone_number": "207-404-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 W. LOYOLA CT",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606265102",
"telephone_number": "773-274-1769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANAYEM",
"first_name": "SAKER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-11",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070026291",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": null,
"primary": false
}
],
"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 Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.