Organization Active NPI

Upright Physical Therapy and Rehabilitation, PC.

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1487606455
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-010257 Issued in IL
Legal business name
UPRIGHT PHYSICAL THERAPY AND REHABILITATION, PC.
Practice address
1402 W 103Rd St
Chicago, IL 60643-2953
Phone
(773) 233-7800
Fax
(773) 233-7808
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
Dr. Clementina Nkechi Solola, PT, DPT
Title
President
Phone
(773) 233-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 070-010257 IL Primary

Addresses

Primary practice location

1402 W 103Rd St
Chicago, IL 60643-2953

Mailing address

3013 Hermes Dr
Olympia Fields, IL 60461-1468
Phone (773) 233-7800

Other identifiers 2

IdentifierTypeStateIssuer
9437883OtherPRIVATE HEALTHCARE SYSTEM
351921204001MedicaidIL

National Provider Directory

National Provider Directory

Locations

1402 W 103rd St
Chicago, IL 60643
Phone (773) 233-7800

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1487606455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 HERMES DR",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611468",
            "telephone_number": "773-233-7800",
            "fax_number": "773-233-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432953",
            "telephone_number": "773-233-7800",
            "fax_number": "773-233-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPRIGHT PHYSICAL THERAPY AND REHABILITATION, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "SOLOLA",
        "authorized_official_first_name": "CLEMENTINA",
        "authorized_official_middle_name": "NKECHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-233-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-010257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "9437883",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351921204001",
            "state": "IL"
        }
    ],
    "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 Jan 4, 2013; 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.