Active NPI
Flex Forward Physical Therapy & Wellness LLC
- Physical Therapy Clinic/Center
- Grayslake, IL
National Provider Identifier
1639966211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- FLEX FORWARD PHYSICAL THERAPY & WELLNESS LLC
- Practice address
- 1033 Progress Dr
Grayslake, IL 60030-1672 - Phone
- (224) 757-0099
- Fax
- (224) 223-8008
- NPI assigned
- Apr 24, 2025
- 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
- Jacob Paul Giese, PT DPT
- Title
- Owner
- Phone
- (920) 904-3634
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 Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1033 Progress Dr
Grayslake, IL 60030-1672
Mailing address
1916 Hazelwood Dr
Lindenhurst, IL 60046-7019
Phone (920) 904-3634
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Grayslake, IL
- NPI 1558910067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748563200000",
"number": "1639966211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 HAZELWOOD DR",
"city": "LINDENHURST",
"state": "IL",
"postal_code": "600467019",
"telephone_number": "920-904-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 PROGRESS DR",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600301672",
"telephone_number": "224-757-0099",
"fax_number": "224-223-8008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLEX FORWARD PHYSICAL THERAPY & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-24",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A",
"authorized_official_last_name": "GIESE",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-904-3634",
"authorized_official_credential": "PT DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.