Active NPI
Flexeon Rehabilitation of Lockport, LLC
- Physical Therapist
- Lockport, IL
National Provider Identifier
1609100254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Judge, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.
-
- Physical Therapist
- Park Ridge, IL
- NPI 1265484406
-
- Physical Therapist
- Palos Heights, IL
- NPI 1760422844
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.