Active NPI
Christopher R Hagan, PT, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1639546518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070021693
- Practice address
- 211 N Clinton St
Suite 2S
Chicago, IL 60661-1282 - Phone
- (877) 709-1090
- Fax
- (866) 221-3400
- NPI assigned
- Aug 27, 2015
- Last updated
- Oct 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070021693 | IL | Primary |
Addresses
Primary practice location
211 N Clinton St
Suite 2S
Chicago, IL 60661-1282
Mailing address
910 W Van Buren St
Suite 100-419
Chicago, IL 60607-3523
Phone (877) 709-1090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fuller Health Group SC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1639546518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 W VAN BUREN ST",
"address_2": "SUITE 100-419",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073523",
"telephone_number": "877-709-1090",
"fax_number": "866-221-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N CLINTON ST",
"address_2": "SUITE 2S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606611282",
"telephone_number": "877-709-1090",
"fax_number": "866-221-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "CHRISTOPHER",
"middle_name": "R",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-27",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070021693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.