Organization Active NPI

Offseason Physical Therapy and Sports Performance

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1801543236
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OFFSEASON PHYSICAL THERAPY AND SPORTS PERFORMANCE
Practice address
1690 N Elston Ave Unit 2
Chicago, IL 60642-1530
Phone
(708) 421-9269
NPI assigned
Mar 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2022

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

Authorized official

Name
Lois Kettering, PT, DPT, CSCSNPI 1740847235
Title
Co-Owner
Phone
(708) 421-9269

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1690 N Elston Ave Unit 2
Chicago, IL 60642-1530

Mailing address

445 E Oriole Ave
Elmhurst, IL 60126-4107

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646524800000",
    "number": "1801543236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E ORIOLE AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 N ELSTON AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421530",
            "telephone_number": "708-421-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFSEASON PHYSICAL THERAPY AND SPORTS PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-06",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A",
        "authorized_official_last_name": "KETTERING",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "708-421-9269",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Mar 6, 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.