Organization Active NPI

Journey Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Chicago, IL
National Provider Identifier
1295071090
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070.017153 Issued in IL
Legal business name
JOURNEY PHYSICAL THERAPY INC
Practice address
2250 W Belmont Ave
Unit 1W
Chicago, IL 60618-6561
Phone
(773) 883-2337
Fax
(773) 883-2336
NPI assigned
Dec 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Dr. Philip C Lee, PT, DPT, OCS
Title
Physical Therapist/President
Phone
(224) 766-6346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 070.017153 IL Primary

Addresses

Primary practice location

2250 W Belmont Ave
Unit 1W
Chicago, IL 60618-6561

Mailing address

2754 N Hampden CT
Unit 805
Chicago, IL 60614-1651
Phone (224) 766-6346

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1356393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1295071090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 N HAMPDEN CT",
            "address_2": "UNIT 805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141651",
            "telephone_number": "224-766-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 W BELMONT AVE",
            "address_2": "UNIT 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186561",
            "telephone_number": "773-883-2337",
            "fax_number": "773-883-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-25",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "224-766-6346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070.017153",
            "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 Aug 12, 2015; 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.