Jessica McCool, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3130 N Lincoln Ave
Chicago, IL 60657-3117

Phone

(773) 525-5200

Fax

(773) 525-5276

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jessica McCool Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifestyle Physical Therapy & Balance Center, PLLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1710917158
  NPD (past)
• Presence Chicago Hospitals Network

  • Psychiatric Hospital Unit
  • Chicago, IL
  • NPI 1194404251
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790881480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 W CUYLER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183005",
            "telephone_number": "614-288-5953",
            "fax_number": "773-728-8719"
        },
        {
            "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": {
        "last_name": "MCCOOL",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MCCOOL",
            "prefix": "MRS.",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin McConnell, MS, CCC-SLP
• Stephanie McConville, PHD
• Juan Tremayne McCook
• Elizabeth Anne McCool
• Jennifer Molly McCool, LCSW
• Sherree McCool
• Domonique Frances McCord, M. A.
• Kari Newsom McCord, NP
• Katherine McCormack, MSW
• Mary Ellen McCormack, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.