Beverly Physical Therapy LTD

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BEVERLY PHYSICAL THERAPY LTD

Practice address

2209 W 95TH St
Chicago, IL 60643-1001

Phone

(773) 288-8500

NPI assigned

Apr 3, 2024

Last updated

Apr 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stefanie Shaw

Title

Ceo

Phone

(312) 437-1129

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1528810421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431001",
            "telephone_number": "773-288-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY PHYSICAL THERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-437-1129"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Group Mental Health Services, Inc
• Beverly Group MHS, Inc.
• Beverly Henderson LTD P.C
• Beverly Hills Home Care
• Beverly Hills Home Services, Inc
• Beverly Podiatry Center, LLC
• Beverly Psychiatric Services LLC
• Beverly Shores Smile Center
• Beverly Therapy, Inc.
• Beverly Therapy, Inc.

• Physical Therapy Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.