Active NPI
Connor Callahan
- Physical Therapist
- Chicago, IL
National Provider Identifier
1285598797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070029675
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070029675 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Rehabilitation Group Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Arlington Heights, IL
- NPI 1174779623
IL, Physical Therapist
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.