Active NPI
Brianna Lauren Levy, PT, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1740736883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 28 N Clark St
Chicago, IL 60602 - Phone
- (312) 450-6468
- NPI assigned
- Aug 29, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012539 | GA | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
28 N Clark St
Chicago, IL 60602
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6250
Other practice location 1
32 Irby Ave NW
Atlanta, GA 30305-1808
Phone (770) 792-7522
Other practice location 2
880 Canton Rd NE Ste 100
Marietta, GA 30060-7283
Phone (770) 792-7522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012539 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1740736883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 N CLARK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60602",
"telephone_number": "312-450-6468"
}
],
"practiceLocations": [
{
"address_1": "32 Irby Ave NW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303051808",
"country_code": "US",
"telephone_number": "770-792-7522",
"fax_number": "770-792-7508",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "880 Canton Rd NE Ste 100",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300607283",
"country_code": "US",
"telephone_number": "770-792-7522",
"fax_number": "770-792-7508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVY",
"first_name": "BRIANNA",
"middle_name": "LAUREN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-29",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012539",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"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 Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.