NPIMap

Organization Active NPI

React Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1306021241
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070011211 Issued in IL
Legal business name
REACT PHYSICAL THERAPY LLC
Practice address
1520 N Dayton St
Chicago, IL 60642-2522
Phone
(312) 380-1822
Fax
(312) 313-8995
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
David A Reavy, PTNPI 1487611232
Title
Owner / Physical Therapist
Phone
(312) 933-7374

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 Therapy Clinic/Center 261QP2000X 070011211 IL Primary

Addresses

Primary practice location

1520 N Dayton St
Chicago, IL 60642-2522

Mailing address

1520 N Dayton St
Chicago, IL 60642-2522
Phone (312) 380-1822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080216000016 IL Part B Supplier - Clinic/Group Practice 0143303982 Receives reassigned benefits from 16 practitioners
Practice locations: Chicago, IL; Wilmette, IL; Deerfield, IL

National Provider Directory

National Provider Directory

Locations

1520 N Dayton St
Chicago, IL 60642
Phone (312) 380-1822

300 W Ontario St
Chicago, IL 60654
Phone (312) 243-9350

710 Robert York Ave
Deerfield, IL 60015
Phone (312) 720-6784

1215 Washington Ave
Wilmette, IL 60091
Phone (312) 213-8802

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1306021241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N DAYTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422522",
            "telephone_number": "312-380-1822",
            "fax_number": "312-313-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N DAYTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422522",
            "telephone_number": "312-380-1822",
            "fax_number": "312-313-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "REAVY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "312-933-7374",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070011211",
            "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 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.