Active NPI
Sabal Physical Therapy LTD
- Physical Therapist
- Chicago, IL
National Provider Identifier
1376647628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 060007040
- Legal business name
- SABAL PHYSICAL THERAPY LTD
- Practice address
- 4801 W Peterson
Suite 402
Chicago, IL 60646 - Phone
- (773) 736-9400
- Fax
- (773) 736-3546
- NPI assigned
- Sep 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James J Sabal, PT
- Title
- President Physical Therapist
- Phone
- (773) 736-9400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 060007040 | IL | Primary |
Addresses
Primary practice location
4801 W Peterson
Suite 402
Chicago, IL 60646
Mailing address
4801 W Peterson
Suite 402
Chicago, IL 60646
Phone (773) 736-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1622063 | Other | BCBS |
Other names 1
- Sabal Physical Therapy & Exercise Center Ltd
National Provider Directory
National Provider DirectoryLocations
4801 W Peterson Ave
Ste 402
Chicago, IL 60646
Phone (773) 545-6047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279670400000",
"number": "1376647628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 W PETERSON",
"address_2": "SUITE 402",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60646",
"telephone_number": "773-736-9400",
"fax_number": "773-736-3546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 W PETERSON",
"address_2": "SUITE 402",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60646",
"telephone_number": "773-736-9400",
"fax_number": "773-736-3546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SABAL PHYSICAL THERAPY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-08",
"last_updated": "2010-07-21",
"status": "A",
"authorized_official_last_name": "SABAL",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT PHYSICAL THERAPIST",
"authorized_official_telephone_number": "773-736-9400",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": "060007040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1622063",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sabal Physical Therapy & Exercise Center Ltd",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.