Daniel Joseph Jacobazzi, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070018357 Issued in IL

Practice address

1820 W Irving Park Rd
Chicago, IL 60613-2402

Phone

(773) 852-3335

Fax

(773) 751-5292

NPI assigned

Aug 15, 2006

Last updated

Aug 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Therapeutic Motion, P.C.

  dba Atm

  • Physical Therapist
  • Chicago, IL
  • NPI 1053677922
  NPD Authorized official

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1396758603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W IRVING PARK RD",
            "address_2": "#1 W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132406",
            "telephone_number": "773-852-3335",
            "fax_number": "773-751-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132402",
            "telephone_number": "773-852-3335",
            "fax_number": "773-751-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBAZZI",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008864",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Jacob, LCSW
• Sheby Elsa Jacob, NP
• Sherin M Jacob
• Tiffany Sunny Jacob
• Tobin Jacob
• Christine L. Jacobek, PSY.D.
• Melissa Jacoben, LCSW
• Rebekah Jacobi
• Ashley Jacobs
• Audrey Jacobs

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.