Organization Active NPI

Remedy Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1760047179
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REMEDY PHYSICAL THERAPY AND WELLNESS
Practice address
4636 N Kenmore Ave # 2
Chicago, IL 60640-5039
Phone
(815) 370-6670
NPI assigned
May 1, 2019
Last updated
May 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Kali Eckert, PT, DPTNPI 1821407230
Title
Physical Therapist
Phone
(815) 370-6670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

4636 N Kenmore Ave # 2
Chicago, IL 60640-5039

Mailing address

4636 N Kenmore Ave # 2
Chicago, IL 60640-5039
Phone (815) 370-6670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201110002576 IL Part B Supplier - Clinic/Group Practice 4385054956 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

1002 W Leland Ave
Chicago, IL 60640
Phone (815) 370-6670

4704 N Broadway St
Chicago, IL 60640
Phone (815) 370-6670

Practitioners & affiliated clinicians

Practitioners 1

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": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1760047179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 N KENMORE AVE # 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405039",
            "telephone_number": "815-370-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4636 N KENMORE AVE # 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405039",
            "telephone_number": "815-370-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDY PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "KALI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "815-370-6670",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "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 May 1, 2019; 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.

Verify at the official NPI Registry.