NPIMap

Organization Active NPI

Innovative Therapy Solutions, LLC

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1265790638
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070015850 Issued in IL
Legal business name
INNOVATIVE THERAPY SOLUTIONS, LLC
Practice address
9912 S Forest Ave
Chicago, IL 60628-1440
Phone
(773) 941-9245
Fax
(773) 821-0396
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Jameka Latrice Williams-Muhammad, MPTNPI 1922211283
Title
Physical Therapist
Phone
(773) 941-9245

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
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 070015850 IL Primary

Addresses

Primary practice location

9912 S Forest Ave
Chicago, IL 60628-1440

Mailing address

9912 S Forest Ave
Chicago, IL 60628-1440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1265790638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 S FOREST AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281440",
            "fax_number": "773-821-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 S FOREST AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281440",
            "telephone_number": "773-941-9245",
            "fax_number": "773-821-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-MUHAMMAD",
        "authorized_official_first_name": "JAMEKA",
        "authorized_official_middle_name": "LATRICE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "773-941-9245",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015850",
            "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 Apr 24, 2012; 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.