Organization Active NPI

Sabal Physical Therapy LTD

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1376647628
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
060007040 Issued in IL
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

Updated by the provider on Jul 21, 2010

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1622063OtherBCBS

Other names 1

  • Sabal Physical Therapy & Exercise Center Ltd Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.