Active NPI
Fusion Therapy, LLC
- Specialist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- FUSION THERAPY, LLC
- Practice address
- 1525 E 53Rd St
Suite 814
Chicago, IL 60615-4557 - Phone
- (773) 643-0442
- Fax
- (773) 643-7212
- NPI assigned
- Mar 8, 2007
- Last updated
- Jul 21, 2022
- 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
- Donn Nettles, DN
- Title
- Managing Partner
- Phone
- (773) 643-0442
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | IL | Primary |
Addresses
Primary practice location
1525 E 53Rd St
Suite 814
Chicago, IL 60615-4557
Mailing address
1525 E 53Rd St
Suite 814
Chicago, IL 60615-4557
Phone (773) 643-0442
National Provider Directory
National Provider DirectoryLocations
1525 E 53rd St
Ste 814
Chicago, IL 60615
Phone (312) 403-1853
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Chicago, IL
- NPI 1407987670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1447381504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 E 53RD ST",
"address_2": "SUITE 814",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606154557",
"telephone_number": "773-643-0442",
"fax_number": "773-643-7212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 E 53RD ST",
"address_2": "SUITE 814",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606154557",
"telephone_number": "773-643-0442",
"fax_number": "773-643-7212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUSION THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "NETTLES",
"authorized_official_first_name": "DONN",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "773-643-0442",
"authorized_official_credential": "DN"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "IL",
"license": null,
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.