Organization Active NPI

Courageous Play

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1508226325
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-010102 Issued in IL
Legal business name
COURAGEOUS PLAY
Practice address
1318 W Wilson Ave
Unit 2a
Chicago, IL 60640-6243
Phone
(773) 412-3757
Fax
(773) 506-2529
NPI assigned
Mar 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Sarah Kranz-Owens, PT
Title
Authorized Official
Phone
(773) 412-3722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070-010102 IL Primary

Addresses

Primary practice location

1318 W Wilson Ave
Unit 2a
Chicago, IL 60640-6243

Mailing address

1318 W Wilson Ave
Unit 2a
Chicago, IL 60640-6243
Phone (773) 412-3757

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1508226325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 W WILSON AVE",
            "address_2": "UNIT 2A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406243",
            "telephone_number": "773-412-3757",
            "fax_number": "773-506-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 W WILSON AVE",
            "address_2": "UNIT 2A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406243",
            "telephone_number": "773-412-3757",
            "fax_number": "773-506-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS PLAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "KRANZ-OWENS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "773-412-3722",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-010102",
            "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 7, 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.