Organization Active NPI

Flexeon Rehabilitation of Lockport, LLC

  • Physical Therapist
  • Lockport, IL
National Provider Identifier
1609100254
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FLEXEON REHABILITATION OF LOCKPORT, LLC
Practice address
17130 Prime Blvd
Ste B
Lockport, IL 60441-1311
Phone
(815) 512-7070
Fax
(815) 512-7030
NPI assigned
Sep 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Mr. James Judge, PTNPI 1265484406
Title
Owner
Phone
(708) 610-8951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

17130 Prime Blvd
Ste B
Lockport, IL 60441-1311

Mailing address

17130 Prime Blvd
Ste B
Lockport, IL 60441-1311
Phone (815) 512-7070

National Provider Directory

National Provider Directory

Locations

17130 Prime Blvd
Ste B
Lockport, IL 60441
Phone (815) 512-7070

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": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1609100254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17130 PRIME BLVD",
            "address_2": "STE B",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604411311",
            "telephone_number": "815-512-7070",
            "fax_number": "815-512-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17130 PRIME BLVD",
            "address_2": "STE B",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604411311",
            "telephone_number": "815-512-7070",
            "fax_number": "815-512-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEXEON REHABILITATION OF LOCKPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-610-8951",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.