Individual provider Active NPI

Janusz Parzuch III

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1891747804
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5725 S Archer Ave
Chicago, IL 60638-1617
Phone
(773) 526-5130
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5725 S Archer Ave
Chicago, IL 60638-1617

Mailing address

5725 S Archer Ave
Chicago, IL 60638-1617
Phone (773) 526-5130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914000134 IL Practitioner - Physical Therapist in Private Practice 6800874058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6737 W 95TH St
Suite a
Oak Lawn, IL 60453-2112
Phone (708) 745-6033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Petersen DC LTD CurrentSince Sep 28, 2015 Accepting new patients
Rehabilitation Services LLC Physical Therapist CurrentSince Dec 16, 2018 Accepting new patients
Physical Therapy & Rehab Net Inc Physical Therapist PastSince Jan 1, 2006 Accepting new patients
Physical Therapy Network PC Physical Therapist PastSince Jan 1, 2003 Accepting new patients
Rehabilitation &Consulting LLC Physical Therapist PastSince Mar 1, 2007 Accepting new patients

Locations

6737 W 95th St
Ste A
Oak Lawn, IL 60453
Phone (708) 741-5678

4907 W 95th St
Oak Lawn, IL 60453
Phone (312) 339-8346

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891747804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381617",
            "telephone_number": "773-526-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381617",
            "telephone_number": "773-526-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARZUCH",
        "first_name": "JANUSZ",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "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 Jul 8, 2007; 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.