Organization Active NPI

Weeshine Pediatric Physical Therapy, LTD

  • Pediatric Physical Therapist
  • Chicago, IL
National Provider Identifier
1255455986
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
WEESHINE PEDIATRIC PHYSICAL THERAPY, LTD
Practice address
1354 N Maplewood Ave
Suite 1
Chicago, IL 60622-2827
Phone
(773) 330-8025
Fax
(773) 256-9107
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Triston Kee, PTNPI 1932231867
Title
President
Phone
(773) 330-8025

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
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X IL Primary

Addresses

Primary practice location

1354 N Maplewood Ave
Suite 1
Chicago, IL 60622-2827

Mailing address

1354 N Maplewood Ave
Suite 1
Chicago, IL 60622-2827
Phone (773) 330-8025

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255455986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 N MAPLEWOOD AVE",
            "address_2": "SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222827",
            "telephone_number": "773-330-8025",
            "fax_number": "773-256-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 N MAPLEWOOD AVE",
            "address_2": "SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222827",
            "telephone_number": "773-330-8025",
            "fax_number": "773-256-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEESHINE PEDIATRIC PHYSICAL THERAPY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEE",
        "authorized_official_first_name": "TRISTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-330-8025",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "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 Aug 22, 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.