Organization Active NPI

Epicore Physical Therapy

  • Orthopedic Physical Therapist
  • Chicago, IL
National Provider Identifier
1902416720
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
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

Updated by the provider on Aug 6, 2020

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)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1811445562OtherILSHANNA JONES

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Chicago

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.