Organization Active NPI

Level Up Osteopractic and Wellness

  • Physical Therapy Clinic/Center
  • Naperville, IL
National Provider Identifier
1356112791
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LEVEL UP OSTEOPRACTIC AND WELLNESS
Practice address
614 W 5TH Ave Ste a
Naperville, IL 60563-4823
Phone
(630) 664-7393
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Roberta Anne Zimmerman, PT, DPTNPI 1538573704
Title
Ceo
Phone
(630) 358-9098

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 Primary

Addresses

Primary practice location

614 W 5TH Ave Ste a
Naperville, IL 60563-4823

Mailing address

1167 Milburn CT
Naperville, IL 60540-4975
Phone (630) 664-7393

National Provider Directory

National Provider Directory

Locations

614 W 5th Ave
Ste A
Naperville, IL 60563
Phone (630) 664-7393

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": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1356112791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 MILBURN CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404975",
            "telephone_number": "630-664-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W 5TH AVE STE A",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634823",
            "telephone_number": "630-664-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL UP OSTEOPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-358-9098",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.