Boundless Health, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

070013293 Issued in IL

Legal business name

BOUNDLESS HEALTH, LLC

Doing business as

Boundless Physical Therapy

Practice address

2929 N Southport Ave
Chicago, IL 60657-6945

Phone

(312) 566-8460

NPI assigned

Jun 4, 2011

Last updated

Jun 4, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

BOUNDLESS HEALTH, LLCAs reported in NPPES

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

Authorized official

Name

Jessica Brelje, MPTNPI 1538296975

Title

Owner, Physical Therapist

Phone

(773) 562-0907

Specialties & licenses 1

Addresses

Other names 1

• Boundless Physical Therapy Doing business as

Part of

Boundless Health LLC

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.

• Jessica Brelje, MPT

  • Physical Therapist
  • Morris, IL
  • NPI 1538296975
  NPD (past) Authorized official

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

{
    "created_epoch": "1307145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307145600000",
    "number": "1790079077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N OGDEN AVE",
            "address_2": "#203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606426421",
            "telephone_number": "773-562-0907",
            "fax_number": "312-488-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N SOUTHPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576945",
            "telephone_number": "312-566-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDLESS HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOUNDLESS HEALTH, LLC",
        "enumeration_date": "2011-06-04",
        "last_updated": "2011-06-04",
        "status": "A",
        "authorized_official_last_name": "BRELJE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "773-562-0907",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070013293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boundless Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Anne Bouma-Johnston, MD
• Imane Boumaraf, MD
• Redouane Boumendjel, MD
• Christine Boumitri, M.D
• Bounce Cuisine LLC
• Patrice Bounds, LCPC, NCC
• Nicole Mae Bounphithack, APRN, CNP
• Nathan Bounyong, DO
• Jean E Bourand, MD
• Jenna Bourassa

• Orthopedic Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2011; 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.