Advanced Physical Therapy & Spinal Rehab, Corp.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070016580 Issued in IL

Legal business name

ADVANCED PHYSICAL THERAPY & SPINAL REHAB, CORP.

Practice address

9849 Gross Point Rd
Skokie, IL 60076-1145

Phone

(847) 675-7025

Fax

(847) 675-7026

NPI assigned

Mar 3, 2011

Last updated

Mar 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jin Woo LeeNPI 1538274030

Title

Owner

Phone

(847) 675-7025

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Jin Woo Lee, D.C

  • Chiropractor
  • Skokie, IL
  • NPI 1538274030
  Medicare reassignment NPD Authorized official
• Yoo Mi Chung, D.P.T

  • Physical Therapist
  • Skokie, IL
  • NPI 1811031198
  NPD

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299974400000",
    "number": "1679871453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9849 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761145",
            "telephone_number": "847-675-7025",
            "fax_number": "847-675-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9849 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761145",
            "telephone_number": "847-675-7025",
            "fax_number": "847-675-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY & SPINAL REHAB, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "WOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-675-7025",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009729",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Skokie, IL
• Providers in Skokie, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2011; 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.