NPIMap

Organization Active NPI

Lifestyle Physical Therapy & Balance Center, PLLC

Doing business as LifeStyle Physical Therapy & Balance Center, LLC

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1710917158
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014070 Issued in IL
Legal business name
LIFESTYLE PHYSICAL THERAPY & BALANCE CENTER, PLLC
Doing business as
LifeStyle Physical Therapy & Balance Center, LLC
Practice address
3130 N Lincoln Ave
Chicago, IL 60657-3117
Phone
(773) 525-5200
Fax
(773) 525-5276
NPI assigned
Jul 3, 2006
Last updated
Jun 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Authorized official

Name
Ms. Michele A Kehrer, PHYSICAL THERAPISTNPI 1598798324
Title
Owner
Phone
(773) 525-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 070014070 IL Primary

Addresses

Primary practice location

3130 N Lincoln Ave
Chicago, IL 60657-3117

Mailing address

1 E Erie St Ste 220
Chicago, IL 60611-4741
Phone (773) 525-5200

Other names 1

  • LifeStyle Physical Therapy & Balance Center, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1 E Erie St
Ste 220
Chicago, IL 60611
Phone (773) 525-5200

3130 N Lincoln Ave
Chicago, IL 60657
Phone (773) 525-5200

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1710917158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 220",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114741",
            "telephone_number": "773-525-5200",
            "fax_number": "773-525-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573117",
            "telephone_number": "773-525-5200",
            "fax_number": "773-525-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE PHYSICAL THERAPY & BALANCE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "KEHRER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-525-5200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeStyle Physical Therapy & Balance Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifeStyle Physical Therapy & Balance Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 28, 2022; 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.