Active NPI
Weeshine Pediatric Physical Therapy, LTD
- Pediatric Physical Therapist
- Chicago, IL
National Provider Identifier
1255455986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Triston Kee, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 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 DirectoryPractitioners & 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.