Organization Active NPI

Performance Physical Therapy of Bridgeview

  • Physical Therapist
  • Oak Lawn, IL
National Provider Identifier
1912954074
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PERFORMANCE PHYSICAL THERAPY OF BRIDGEVIEW
Practice address
4807 W 95TH St
Oak Lawn, IL 60453-2501
Phone
(708) 599-1983
Fax
(708) 599-7420
NPI assigned
May 27, 2006
Last updated
Sep 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
James Judge, P.T.
Title
Partner/Manager
Phone
(708) 599-1983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4807 W 95TH St
Oak Lawn, IL 60453-2501

Mailing address

4807 W 95TH St
Oak Lawn, IL 60453-2501
Phone (708) 599-1983

National Provider Directory

National Provider Directory

Locations

7345 W 100th Pl
Ste 104
Bridgeview, IL 60455
Phone (708) 599-1983

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1912954074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532501",
            "telephone_number": "708-599-1983",
            "fax_number": "708-599-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532501",
            "telephone_number": "708-599-1983",
            "fax_number": "708-599-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY OF BRIDGEVIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PARTNER/MANAGER",
        "authorized_official_telephone_number": "708-599-1983",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.