Organization Active NPI

Physically Phit

  • Sports Physical Therapist
  • Chicago, IL
National Provider Identifier
1275706368
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
PHYSICALLY PHIT
Practice address
2320 N Damen Ave Ste 1R
Chicago, IL 60647-3359
Phone
(773) 489-0001
Fax
(773) 489-0003
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Poonam Bhargava, P.T.
Title
Physical Therapist
Phone
(312) 285-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251S0007X IL Primary

Addresses

Primary practice location

2320 N Damen Ave Ste 1R
Chicago, IL 60647-3359

Mailing address

2320 N Damen Ave Ste 1R
Chicago, IL 60647-3359
Phone (773) 489-0001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1275706368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 N DAMEN AVE STE 1R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473359",
            "telephone_number": "773-489-0001",
            "fax_number": "773-489-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 N DAMEN AVE STE 1R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473359",
            "telephone_number": "773-489-0001",
            "fax_number": "773-489-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICALLY PHIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "BHARGAVA",
        "authorized_official_first_name": "POONAM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "312-285-1090",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "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 Apr 9, 2008; 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.