Active NPI
Morgan Jana Ahluwalia, PT, DPT
- Pediatric Physical Therapist
- Chicago, IL
National Provider Identifier
1508316316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 070022619
- Practice address
- 811 W Evergreen Ave
Suite 404
Chicago, IL 60642-2682 - Phone
- (312) 242-1665
- NPI assigned
- Oct 5, 2016
- Last updated
- Oct 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 070022619 | IL | Primary |
Addresses
Primary practice location
811 W Evergreen Ave
Suite 404
Chicago, IL 60642-2682
Mailing address
811 W Evergreen Ave
Suite 404
Chicago, IL 60642-2682
Phone (312) 242-1665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070022619 | IL | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1508316316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 W EVERGREEN AVE",
"address_2": "SUITE 404",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606422682",
"telephone_number": "312-242-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 W EVERGREEN AVE",
"address_2": "SUITE 404",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606422682",
"telephone_number": "312-242-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHLUWALIA",
"first_name": "MORGAN",
"middle_name": "JANA",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-05",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "IL",
"license": "070022619",
"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 Oct 5, 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.