Active NPI
Lea G Magallanes, PT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1821380569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070016821
- Practice address
- 5946 N Milwaukee Ave
Chicago, IL 60646-5424 - Phone
- (773) 775-6637
- NPI assigned
- May 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070016821 | IL | Primary |
Addresses
Primary practice location
5946 N Milwaukee Ave
Chicago, IL 60646-5424
Mailing address
5946 N Milwaukee Ave
Chicago, IL 60646-5424
Phone (773) 775-6637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070016821 | Other | IL | LICENSE NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1821380569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5946 N MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465424",
"telephone_number": "773-775-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5946 N MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465424",
"telephone_number": "773-775-6637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGALLANES",
"first_name": "LEA",
"middle_name": "G",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-13",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070016821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "070016821",
"state": "IL"
}
],
"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 May 24, 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.