John Close, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070012935 Issued in IL

Practice address

5764 S Archer Ave
Chicago, IL 60638-1643

Phone

(773) 284-0888

Fax

(773) 284-0880

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chicago Rehabilitation Services Inc

  • Physical Therapist
  • Chicago, IL
  • NPI 1881766921
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1710107545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604820037",
            "telephone_number": "773-284-0888",
            "fax_number": "773-284-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5764 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381643",
            "telephone_number": "773-284-0888",
            "fax_number": "773-284-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSE",
        "first_name": "JOHN",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012935",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Clor, DPT
• Mona Clor, MD
• Christianne Clorina, MED
• Close Knit Therapy, LLC
• Emily Close, LCSW
• Michael G Close, M.D.
• Closer Look Imaging LLC
• Jonathan Closner, LMHC, LCPC, LPC
• Meghan Closser
• Cloud Gate Acupuncture

• All providers in Chicago, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.