Organization Active NPI

Chris Scott Wellness

  • Physical Therapist
  • Loves Park, IL
National Provider Identifier
1578956975
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHRIS SCOTT WELLNESS
Doing business as
Chris Scott Wellness
Practice address
1752 Windsor Rd Ste 202
Loves Park, IL 61111-4276
Phone
(815) 977-3747
NPI assigned
Mar 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Skyler Whitenack
Title
Practice Manager
Phone
(815) 977-3747

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise PhysiologistGroup: 193200000X MULTI-SPECIALTY GROUP 224Y00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

1752 Windsor Rd Ste 202
Loves Park, IL 61111-4276

Mailing address

1752 Windsor Rd Ste 202
Loves Park, IL 61111-4276
Phone (815) 977-3747

Other names 1

  • Chris Scott Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1752 Windsor Rd
Ste 202
Loves Park, IL 61111
Phone (815) 282-9881

1752 Windsor Rd
Ste 102
Loves Park, IL 61111

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": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1578956975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 WINDSOR RD STE 202",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114276",
            "telephone_number": "815-977-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 WINDSOR RD STE 202",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114276",
            "telephone_number": "815-977-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS SCOTT WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "WHITENACK",
        "authorized_official_first_name": "SKYLER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "815-977-3747"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chris Scott Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loves Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.