Active NPI
Rebecca Kirk
- Physical Therapist
- Chicago, IL
National Provider Identifier
1407612997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070015563
- Practice address
- 2835 N Sheffield Ave
Chicago, IL 60657-5081 - Phone
- (630) 800-2444
- NPI assigned
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070015563 | IL | Primary |
Addresses
Primary practice location
2835 N Sheffield Ave
Chicago, IL 60657-5081
Mailing address
1929 W Irving Park Rd Apt 2
Chicago, IL 60613-2447
Phone (814) 414-1140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorycare Corporation | Current | Accepting new patients |
Locations
2835 N Sheffield Ave
Ste 202
Chicago, IL 60657
Phone (773) 328-2025
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Aurora, IL
- NPI 1609193515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1407612997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1929 W IRVING PARK RD APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132447",
"telephone_number": "814-414-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 N SHEFFIELD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575081",
"telephone_number": "630-800-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-22",
"last_updated": "2024-02-22",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070015563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 22, 2024; 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.