Neurosport Chicago, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NEUROSPORT CHICAGO, LLC

Practice address

123 W Madison St
Suite 200
Chicago, IL 60602-4511

Phone

(770) 321-0155

Fax

(770) 321-8426

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By 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

Sherri Lipscomb

Title

Office Manager

Phone

(770) 321-0155

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Natalie Johanna Farah, PT, DPT

  • Orthopedic Physical Therapist
  • Marlboro, NJ
  • NPI 1043830540
  NPD (past)
• Gena Marie Thurston, PT

  • Physical Therapist
  • Marietta, GA
  • NPI 1780097295
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1881141869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 JOHNSON FERRY RD",
            "address_2": "SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682764",
            "telephone_number": "770-321-0155",
            "fax_number": "770-321-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W MADISON ST",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024511",
            "telephone_number": "770-321-0155",
            "fax_number": "770-321-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPORT CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "LIPSCOMB",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-321-0155"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuropathways Psychological Services
• Neuropsychiatric Services SC
• Neuropsychological Associates Inc.
• Neuropsychology Assessment and Wellness, LLC
• Neurosciences, LTD (Norman V. Kohn, MD, SC)
• Neurosurgical Professionals, LTD.
• Neurowellness, LLC (Neurowellness)
• Neuroworks Therapeutic Interventions & Consulting
• Erin Irene Neuschler, M.D.
• Leora Neusner

• Physical Therapy Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.