Active NPI
Lauren Nellamattathil, DPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.022172
- Practice address
- 3420 N Lincoln Ave
Chicago, IL 60657-1195 - Phone
- (773) 360-7287
- Fax
- (773) 570-4843
- NPI assigned
- Aug 7, 2014
- Last updated
- Jul 14, 2021
- Sex
- Female
- 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 | 070.022172 | IL | Primary |
Addresses
Primary practice location
3420 N Lincoln Ave
Chicago, IL 60657-1195
Mailing address
2440 M St NW Ste 316
Washington, DC 20037-1449
Phone (202) 659-2673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.022172 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | Current | Accepting new patients |
| Impact Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Endurance Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
1103 S State St
Ste 300
Chicago, IL 60605
Phone (312) 877-5101
3233 W Addison St
Chicago, IL 60618
Phone (773) 478-0496
3420 N Lincoln Ave
Chicago, IL 60657
Phone (773) 360-7287
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
2909 MacArthur Blvd
Northbrook, IL 60062
Phone (224) 300-6158
0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743
Interoperability endpoints
- lauren.rossbach.1@12689.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
- Sports Physical Therapist
- Northbrook, IL
- NPI 1679168751
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
-
dba ATI Physical Therapy
- Physical Therapist
- Chicago, IL
- NPI 1164625331
-
- Physical Therapist
- Chicago, IL
- NPI 1508622614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1699184291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 M ST NW STE 316",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371449",
"telephone_number": "202-659-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3420 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606571195",
"telephone_number": "773-360-7287",
"fax_number": "773-570-4843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELLAMATTATHIL",
"first_name": "LAUREN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.022172",
"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 Jul 14, 2021; 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.