Kenneth Cua Sy, PT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0700010835 Issued in IL

Practice address

3021 N Sheffield Ave
Outpatient Physical Therapy Dept
Chicago, IL 60657-5147

Phone

(773) 296-7450

Fax

(773) 296-7370

NPI assigned

May 26, 2006

Last updated

Mar 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellness by Physiatry, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1255123584
  NPD
• Center of Balance, PC

  • Physical Therapist
  • Chicago, IL
  • NPI 1659319697
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1922054139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 N SHEFFIELD AVE",
            "address_2": "OUTPATIENT PHYSICAL THERAPY DEPT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-296-7450",
            "fax_number": "773-296-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 N SHEFFIELD AVE",
            "address_2": "OUTPATIENT PHYSICAL THERAPY DEPT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-296-7450",
            "fax_number": "773-296-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SY",
        "first_name": "KENNETH",
        "middle_name": "CUA",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "0700010835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Nakmun Swong, MD
• Justin Sword, MS, ATC, LAT
• Reagan Sword, LPC, ATR-P
• Alfredo P. Sy, M.D.
• Harold Michael Sy, MD
• Virginia Sy, RN
• Jalesia Syas, MA, LCPC, LSOTP
• Tricia Sybesma
• Danielle Jenna Sychowski
• Sydneymalcome LLC

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.