Organization Active NPI

Velona Health PLLC

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1275157976
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VELONA HEALTH PLLC
Practice address
1525 E 53Rd St Ste 627
Chicago, IL 60615-4575
Phone
(312) 324-0953
Fax
(312) 324-0958
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
CJ MimeeNPI 1184127003
Title
Owner and Founder
Phone
(312) 324-0953

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: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1525 E 53Rd St Ste 627
Chicago, IL 60615-4575

Mailing address

1525 E 53Rd St Ste 627
Chicago, IL 60615-4575
Phone (312) 324-0953

Other identifiers 1

IdentifierTypeStateIssuer
248002754OtherILBUSINESS LICENSE

National Provider Directory

National Provider Directory

Locations

1525 E 53rd St
Ste 627
Chicago, IL 60615
Phone (312) 324-0953

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": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1275157976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST STE 627",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154575",
            "telephone_number": "312-324-0953",
            "fax_number": "312-324-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST STE 627",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154575",
            "telephone_number": "312-324-0953",
            "fax_number": "312-324-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELONA HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "MIMEE",
        "authorized_official_first_name": "CJ",
        "authorized_official_title_or_position": "OWNER AND FOUNDER",
        "authorized_official_telephone_number": "312-324-0953"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "248002754",
            "state": "IL"
        }
    ],
    "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 May 29, 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.