Individual provider Active NPI

Tolga Levent Yenilmez, PT, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1821330085
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070020639 Issued in IL
Practice address
4753 N Broadway St Ste 1014
Chicago, IL 60640-4990
Phone
(608) 444-9146
NPI assigned
Mar 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 62038 OR
Physical Therapist 225100000X 031908-1 NY
Physical Therapist 225100000X 12266-24 WI
Physical Therapist 225100000X 070020639 IL Primary

Addresses

Primary practice location

4753 N Broadway St Ste 1014
Chicago, IL 60640-4990

Mailing address

4753 N Broadway St # Sye1014
Chicago, IL 60640-5266
Phone (608) 444-9146

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

State licenses

LicenseStateTypeSpecialty
031908-1NYMDPhysical Therapist
62038ORMDPhysical Therapist
12266-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Psychotherapy CurrentSince Nov 10, 2019 Accepting new patients

Locations

4753 N Broadway St
Ste 1014
Chicago, IL 60640
Phone (312) 278-7288

Organizations & group practices 1

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1821330085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 N BROADWAY ST # SYE1014",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405266",
            "telephone_number": "608-444-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 N BROADWAY ST STE 1014",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404990",
            "telephone_number": "608-444-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENILMEZ",
        "first_name": "TOLGA",
        "middle_name": "LEVENT",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62038",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031908-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12266-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020639",
            "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 19, 2020; 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.