Vivid Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VIVID PHYSICAL THERAPY LLC

Practice address

2536 W North Ave
Chicago, IL 60647-5216

Phone

(773) 492-1352

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Kevin PlattnerNPI 1881258663

Title

Physical Therapist

Phone

(773) 492-1352

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kevin Plattner, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1881258663
  NPD Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1821876202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 W CARROLL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606241919",
            "telephone_number": "773-492-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475216",
            "telephone_number": "773-492-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "PLATTNER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "773-492-1352"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhayalini Vivek
• Sara Vivens, LPC
• Vivent Pharmacy Illinois LLC
• Vivian B Skolnick PHD PC
• Eva Vivian-Jones
• Vivid Smiles Chicago
• Gesenia Viviescas
• Edward Geronimo Vivit, DDS
• Mary Kho Vivit, DDS
• Virginia Vivit, DC

• 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 Oct 4, 2023; 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.