Active NPI
Ma. Lourdes L Ipapo, PT
- Physical Therapy Clinic/Center
- Chicago, IL
National Provider Identifier
1255689220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 070015513
- Practice address
- 5421 N East River Rd
Apt 404
Chicago, IL 60656-1129 - Phone
- (773) 895-7599
- NPI assigned
- Aug 24, 2012
- Last updated
- Aug 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 070015513 | IL | Primary |
Addresses
Primary practice location
5421 N East River Rd
Apt 404
Chicago, IL 60656-1129
Mailing address
5461 N East River Rd
Apt 900
Chicago, IL 60656-1128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Maxx LLC | Physical Therapy | Current | Accepting new patients |
Locations
415 W Golf Rd
Ste 52
Arlington Hts, IL 60005
Phone (847) 258-5420
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376179200000",
"number": "1255689220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5461 N EAST RIVER RD",
"address_2": "APT 900",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606561128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5421 N EAST RIVER RD",
"address_2": "APT 404",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606561129",
"telephone_number": "773-895-7599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IPAPO",
"first_name": "MA. LOURDES",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-24",
"last_updated": "2013-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "IL",
"license": "070015513",
"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 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.