Individual provider Active NPI

Elizabeth H Feldbruegge, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1811064371
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070013645 Issued in IL
Practice address
505 N Lake Shore Dr
Suite 214
Chicago, IL 60611-3427
Phone
(866) 446-0962
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070013645 IL Primary

Addresses

Primary practice location

505 N Lake Shore Dr
Suite 214
Chicago, IL 60611-3427

Mailing address

4830 W Pensacola Ave
Chicago, IL 60641-1509
Phone (773) 343-5357

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lymthera Chicago LLC Physical Therapist Past Accepting new patients
Progressive Rehabilitation Physical Therapist Past Accepting new patients
Marga F. Massey, MD, LLC Past Accepting new patients
Christ Hospital Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11472/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1811064371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 W PENSACOLA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411509",
            "telephone_number": "773-343-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N LAKE SHORE DR",
            "address_2": "SUITE 214",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113427",
            "telephone_number": "866-446-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDBRUEGGE",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013645",
            "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 Jul 2, 2012; 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.