Organization Active NPI

PT X Aj Inc

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1467099028
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PT X AJ INC
Practice address
3717 N Ravenswood Ave Ste 110
Chicago, IL 60613-3880
Phone
(872) 201-4665
Fax
(949) 404-8431
NPI assigned
Dec 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Alison Ann Jasinowski Hayman, PT, DPT, OCS
Title
Owner
Phone
(872) 201-4665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3717 N Ravenswood Ave Ste 110
Chicago, IL 60613-3880

Mailing address

3804 N Bell Ave
Chicago, IL 60618-3812
Phone (847) 858-2257

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1467099028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 N BELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183812",
            "telephone_number": "847-858-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 N RAVENSWOOD AVE STE 110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133880",
            "telephone_number": "872-201-4665",
            "fax_number": "949-404-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT X AJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "HAYMAN",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "ANN JASINOWSKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "872-201-4665",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "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 Mar 13, 2023; 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.