Organization Active NPI

Nourish Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1861150070
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NOURISH PHYSICAL THERAPY & WELLNESS
Practice address
6886 N Tonty Ave
Chicago, IL 60646-1315
Phone
(847) 533-7844
NPI assigned
Dec 4, 2021
Last updated
Dec 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Authorized official

Name
Dr. Megan H Dillon, DPT, PT, NCSNPI 1326271834
Title
Physical Therapist
Phone
(847) 533-7844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6886 N Tonty Ave
Chicago, IL 60646-1315

Mailing address

6886 N Tonty Ave
Chicago, IL 60646-1315
Phone (847) 533-7844

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1638576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1861150070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6886 N TONTY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461315",
            "telephone_number": "847-533-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6886 N TONTY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461315",
            "telephone_number": "847-533-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-04",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "847-533-7844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, PT, NCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Dec 27, 2021; 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.