Neuro Drive PT, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

NEURO DRIVE PT, PLLC

Practice address

2300 W Wabansia Ave Apt 107
Chicago, IL 60647-5355

Phone

(716) 713-5133

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Wright, DPT

Title

Owner/Physical Therapist

Phone

(716) 713-5133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1841899788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W WABANSIA AVE APT 107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475355",
            "telephone_number": "716-713-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W WABANSIA AVE APT 107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475355",
            "telephone_number": "716-713-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO DRIVE PT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "716-713-5133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Edwards Neumann, DNP, FNP-BC
• Kaitlyn Elizabeth Neumann, M.D.
• Nicole Neumann, OTR/L
• Shannon Neumann, OTR/L
• Kelly Neupert, LPC
• Neuro Monitoring of Il Inc
• Neuro Nurture L.L.C
• Neuroactive Health, LLC
• Neurobloom Mental Health Collective, LLC
• Neurocenter S C

• Health Service Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.