Julius Joseph Rivera Ablis, PT/L
Individual provider Active NPI Physical Therapist · Chicago, IL
NPI 1306183587 · NPPES record last updated Jan 9, 2013
Key facts
- NPI
- 1306183587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0009468 (CO)
- Practice address
- 2649 E 75TH St
Chicago, IL 60649-3835 - Phone
- (773) 356-9300
- Fax
- (773) 721-5842
- NPI assigned
- Jan 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0009468 | CO | MD | Physical Therapist |
| 070019631 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070019631 | IL | |
| Physical Therapist | 225100000X | 0009468 | CO | Yes |
Addresses
Primary practice location
2649 E 75TH St
Chicago, IL 60649-3835
Mailing address
2649 E 75TH St
Chicago, IL 60649-3835
Phone (773) 356-9300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009468 | Other | CO | PHYSICAL THERAPY LICENSE |
| 070019631 | Other | IL | PHYSICAL THERAPY LICENSE |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.