Journey Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070020269 Issued in IL

Legal business name

JOURNEY PHYSICAL THERAPY

Practice address

6663 W Howard St
Niles, IL 60714-3305

Phone

(773) 883-2337

Fax

(773) 883-2336

NPI assigned

Jun 3, 2014

Organization subpart

Yes

Parent organization

JOURNEY PHYSICAL THERAPYAs reported in NPPES

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

Authorized official

Name

Dr. Phil Lee, PT, DPT, OCS

Title

Owner

Phone

(774) 883-2337

Specialties & licenses 1

Addresses

Part of

Journey Physical Therapy

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Journey Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Chicago, IL
  • NPI 1295071090
  NPPES parent name

Practitioners 2

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

• Philip C. Lee, PT, DPT, OCS

  • Physical Therapist
  • Chicago, IL
  • NPI 1427280924
  NPD (past)
• Praneeth Purimetla, PT, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1083038897
  NPD (past)

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1881007391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 W BELMONT AVE",
            "address_2": "1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186561",
            "telephone_number": "773-883-2337",
            "fax_number": "773-883-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6663 W HOWARD ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143305",
            "telephone_number": "773-883-2337",
            "fax_number": "773-883-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOURNEY PHYSICAL THERAPY",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-883-2337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Jordan
• Jorge Aliaga, M.D.,S.C.
• Sheri Ann Joseph
• Tejas N Joshi, D.M.D
• Jinu Joss, MSN,AGNP-C
• Eugene Jung, RPH
• Erica Juris, DC
• Veronica Kacherova, O.D.
• Bruce R Kaden, MD
• Philip Kafin, D.M.D.

• Physical Therapist in Niles, IL
• Providers in Niles, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.