Organization Active NPI

Jessica Brelje Physical Therapy

  • Clinic/Center
  • Morris, IL
National Provider Identifier
1720735764
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JESSICA BRELJE PHYSICAL THERAPY
Practice address
555 Michael Dr
Morris, IL 60450
Phone
(773) 562-0907
NPI assigned
Mar 9, 2022
Last updated
Mar 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Jessica Brelje, PT
Title
Owner/PT
Phone
(773) 562-0907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

555 Michael Dr
Morris, IL 60450

Mailing address

4500 Shady LN
Morris, IL 60450-9600
Phone (773) 562-0907

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1720735764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SHADY LN",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604509600",
            "telephone_number": "773-562-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MICHAEL DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "60450",
            "telephone_number": "773-562-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA BRELJE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "BRELJE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "773-562-0907",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.