Refresh Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REFRESH PHYSICAL THERAPY, INC

Practice address

525 S Madison Ave
La Grange, IL 60525-2802

Phone

(708) 860-0897

NPI assigned

Jan 3, 2019

Organization subpart

No

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

Authorized official

Name

Freda Lesh, PT, DPT, FAAOMPT

Title

President/Physical Therapist

Phone

(708) 860-0897

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1912470816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S MADISON AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252802",
            "telephone_number": "708-860-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S MADISON AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252802",
            "telephone_number": "708-860-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFRESH PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "LESH",
        "authorized_official_first_name": "FREDA",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "708-860-0897",
        "authorized_official_credential": "PT, DPT, FAAOMPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.