Jenessa Nowak Zaragoza, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070016710 Issued in IL

Practice address

1255 S State St
Unit 6
Chicago, IL 60605-1928

Phone

(312) 880-0808

Fax

(312) 880-0810

NPI assigned

Mar 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Functional Pathways Preferred of Tennessee LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1841561446

  IL

  Medicare reassignment Care Compare group NPD
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • North Riverside, IL
  • NPI 1699094102
  Medicare reassignment NPD
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Lagrange, GA
  • NPI 1881458354
  NPD
• Premier Therapy, LLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1689964066
  NPD (past)

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1891094348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 S FRONTAGE RD",
            "address_2": "SUITE 124",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275830",
            "telephone_number": "630-920-4670",
            "fax_number": "630-920-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 S STATE ST",
            "address_2": "UNIT 6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051928",
            "telephone_number": "312-880-0808",
            "fax_number": "312-880-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARAGOZA",
        "first_name": "JENESSA",
        "middle_name": "NOWAK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Peraza Zaragoza-Diesfeld, L.C.S.W.
• Araceli Zaragoza
• Elizabeth Zaragoza, LCSW
• Enrique Zaragoza Jr., NP
• Gabriela Zaragoza, LCSW
• Ruby Zaragoza
• Yasmin Zaragoza, MA, LPC
• Morgan Lindsey Zaranec, PT, DPT
• Susana Zarankin, PSYD
• Martha Zarate - Ortega, LCSW

• 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 Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.