Active NPI
Epicore Physical Therapy
- Orthopedic Physical Therapist
- Chicago, IL
National Provider Identifier
1902416720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- EPICORE PHYSICAL THERAPY
- Practice address
- 1660 N la Salle Dr Apt 2708
Chicago, IL 60614-6021 - Phone
- (872) 818-8895
- NPI assigned
- Aug 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward C Jones
- Title
- Admin
- Phone
- (314) 452-0758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
1660 N la Salle Dr Apt 2708
Chicago, IL 60614-6021
Mailing address
1660 N la Salle Dr Apt 2708
Chicago, IL 60614-6021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811445562 | Other | IL | SHANNA JONES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Chicago |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Chicago, IL
- NPI 1811445562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596672000000",
"number": "1902416720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 N LA SALLE DR APT 2708",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 N LA SALLE DR APT 2708",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146021",
"telephone_number": "872-818-8895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPICORE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-06",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "314-452-0758"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHANNA JONES",
"identifier": "1811445562",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Chicago",
"affiliation": "N",
"address_1": "1660 N La Salle Dr Apt 2708",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606146021",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.