Organization Active NPI

Kids First Physical Therapy Corporation

  • Early Intervention Provider Agency
  • Chicago, IL
National Provider Identifier
1457894743
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
070.013454 Issued in IL
Legal business name
KIDS FIRST PHYSICAL THERAPY CORPORATION
Practice address
4734 N Artesian Ave
Chicago, IL 60625-2902
Phone
(773) 851-9197
Fax
(773) 219-2478
NPI assigned
Nov 18, 2016
Last updated
Nov 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Sandra Barlow, M.P.T, D.P.T.
Title
Physical Therapist
Phone
(773) 851-9197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 070.013454 IL Primary

Addresses

Primary practice location

4734 N Artesian Ave
Chicago, IL 60625-2902

Mailing address

4734 N Artesian Ave
Chicago, IL 60625-2902

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1457894743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 N ARTESIAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4734 N ARTESIAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252902",
            "telephone_number": "773-851-9197",
            "fax_number": "773-219-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FIRST PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "773-851-9197",
        "authorized_official_credential": "M.P.T, D.P.T."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "070.013454",
            "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 Nov 18, 2016; 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.