Organization Active NPI

Holistic Physical Therapy

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1679845887
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070016665 Issued in IL
Legal business name
HOLISTIC PHYSICAL THERAPY
Practice address
3717 N Ravenswood Ave
Suite 213
Chicago, IL 60613-3880
Phone
(630) 546-9565
Fax
(708) 529-0355
NPI assigned
Feb 2, 2012
Last updated
Feb 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Dr. Linda Sue Butts, DPT
Title
Owner
Phone
(630) 546-9565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 070016665 IL Primary

Addresses

Primary practice location

3717 N Ravenswood Ave
Suite 213
Chicago, IL 60613-3880

Mailing address

3717 N Ravenswood Ave
Suite 213
Chicago, IL 60613-3880
Phone (630) 546-9565

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1679845887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 N RAVENSWOOD AVE",
            "address_2": "SUITE 213",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133880",
            "telephone_number": "630-546-9565",
            "fax_number": "708-529-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 N RAVENSWOOD AVE",
            "address_2": "SUITE 213",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133880",
            "telephone_number": "630-546-9565",
            "fax_number": "708-529-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-546-9565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070016665",
            "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 Feb 2, 2012; 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.