Posture Palooza

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

POSTURE PALOOZA

Practice address

840 S Waukegan Rd Ste 212
Lake Forest, IL 60045-2619

Phone

(847) 455-6674

NPI assigned

Oct 8, 2019

Organization subpart

No

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

Authorized official

Name

Ellen Humphrey

Title

Owner

Phone

(847) 455-6674

Specialties & licenses 1

Addresses

Other names 1

• Physical Therapy of Lake Forrest, LLC Doing business as

Locations

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1255972535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S WAUKEGAN RD STE 212",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452619",
            "telephone_number": "847-455-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S WAUKEGAN RD STE 212",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452619",
            "telephone_number": "847-455-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSTURE PALOOZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-455-6674"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy of Lake Forrest, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Polvere, M.A. CF-SLP
• Ariana Polzer
• Deepa Nonesupplied Popuri, MD
• Caitlin Griffin Porter, PA-C
• Marc Posner, M.D.
• Ramanujam Govindarajan Prativadi, MD
• Presbyterian Homes
• Presbyterian Homes
• Adam E Prescott, MD
• Michael Lee Primack, D.D.S.

• Physical Therapist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.