Active NPI
Upright Physical Therapy and Rehabilitation, PC.
- Physical Therapist
- Chicago, IL
National Provider Identifier
1487606455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-010257
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9437883 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 351921204001 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.