Access Center Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070011361 Issued in IL

Legal business name

ACCESS CENTER PHYSICAL THERAPY PC

Practice address

211 E Ontario St
Suite 1450
Chicago, IL 60611-3468

Phone

(312) 573-1441

Fax

(312) 573-9929

NPI assigned

Mar 26, 2007

Last updated

Jan 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Audrey Kim Chenoweth, MSPTNPI 1215140348

Title

President

Phone

(312) 573-1441

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Audrey Kim Chenoweth, MSPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1215140348
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1851419113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E ONTARIO ST",
            "address_2": "SUITE 1450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113468",
            "telephone_number": "312-573-1441",
            "fax_number": "312-573-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E ONTARIO ST",
            "address_2": "SUITE 1450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113468",
            "telephone_number": "312-573-1441",
            "fax_number": "312-573-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS CENTER PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "CHENOWETH",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-573-1441",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD-IL",
            "identifier": "1635145",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Accepting LLC (Accepting)
• Access Anesthesia LLC (Access Anesthesia)
• Access Behavioral Services
• Access Care Providers
• Access Care Therapeutics LLC
• Access Community Experience, Inc.
• Access Community Health Network
• Access Community Health Network
• Access Community Health Network
• Access Community Health Network

• 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 Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.