NPIMap

Organization Active NPI

Sommo LLC

Doing business as ProFormance Therapy

  • Physical Therapy Clinic/Center
  • Glenview, IL
National Provider Identifier
1639530371
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070013977 Issued in IL
Legal business name
SOMMO LLC
Doing business as
ProFormance Therapy
Practice address
1824 Johns Dr
Glenview, IL 60025
Phone
(847) 581-6300
NPI assigned
Mar 8, 2016
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Justin Silver, PT,ATC,CSCSNPI 1992897425
Title
Member/Manager
Phone
(773) 957-6841

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 Therapy Clinic/Center 261QP2000X 070013977 IL Primary

Addresses

Primary practice location

1824 Johns Dr
Glenview, IL 60025

Mailing address

1824 Johns Dr
Glenview, IL 60025-1657
Phone (847) 581-6300

Other practice location 1

1352 Patriot Blvd
Glenview, IL 60026-7777
Phone (847) 581-6300

Other names 1

  • ProFormance Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160823002261 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446558803 Receives reassigned benefits from 4 practitioners
Practice locations: Glenview, IL

National Provider Directory

National Provider Directory

Locations

1352 Patriot Blvd
Glenview, IL 60026
Phone (847) 581-6300

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1639530371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 JOHNS DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251657",
            "telephone_number": "847-581-6300",
            "fax_number": "847-657-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 JOHNS DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60025",
            "telephone_number": "847-581-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1352 Patriot Blvd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600267777",
            "country_code": "US",
            "telephone_number": "847-581-6300",
            "fax_number": "847-657-0408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOMMO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "773-957-6841",
        "authorized_official_credential": "PT,ATC,CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070013977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProFormance Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProFormance Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.