Active NPI
Christopher Pek
- Physical Therapy Assistant
- Elmhurst, IL
National Provider Identifier
1902280753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160006699
- Practice address
- 130 E Grand Ave Apt 106
Elmhurst, IL 60126-1223 - Phone
- (773) 316-6558
- NPI assigned
- Jul 10, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160006699 | IL | Primary |
| Massage Therapist | 225700000X | 227012498 | IL |
Addresses
Primary practice location
130 E Grand Ave Apt 106
Elmhurst, IL 60126-1223
Mailing address
130 E Grand Ave Apt 106
Elmhurst, IL 60126-1223
Phone (773) 316-6558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160006699 | IL | MD | Physical Therapy Assistant |
| 227012498 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1902280753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 E GRAND AVE APT 106",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601261223",
"telephone_number": "773-316-6558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 E GRAND AVE APT 106",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601261223",
"telephone_number": "773-316-6558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEK",
"first_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-10",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160006699",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227012498",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.