Individual provider Active NPI

Connor Callahan

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1285598797
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070029675 Issued in IL
Practice address
155 W North Ave
Chicago, IL 60610-1314
Phone
(872) 221-1211
NPI assigned
Dec 10, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070029675 IL Primary

Addresses

Primary practice location

155 W North Ave
Chicago, IL 60610-1314

Mailing address

1125 N Elmwood Ave
Oak Park, IL 60302-1246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230003386 IL Practitioner - Physical Therapist in Private Practice 7315433232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Rehabilitation Group Inc 53 clinicians

Practice addresses (Care Compare)

2555 N Clark St
Chicago, IL 60614-1768
Phone (773) 755-7566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070029675ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Rehabilitation Group Inc Physical Therapist CurrentSince Dec 18, 2025 Accepting new patients

Locations

6921 W Archer Ave
Chicago, IL 60638
Phone (773) 586-2768

155 W North Ave
Chicago, IL 60610
Phone (872) 221-1211

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1285598797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N ELMWOOD AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101314",
            "telephone_number": "872-221-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "CONNOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070029675",
            "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 Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.