Organization Active NPI

PF Physical Therapy LLC

Doing business as PelvicSynergy Physical Therapy

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1922753326
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PF PHYSICAL THERAPY LLC
Doing business as
PelvicSynergy Physical Therapy
Practice address
851 N California Ave # C1
Chicago, IL 60622-4401
Phone
(419) 366-3645
NPI assigned
Feb 15, 2022
Last updated
Apr 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Amanda L Winters, PT, DPT
Title
Physical Therapist
Phone
(419) 366-3645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

851 N California Ave # C1
Chicago, IL 60622-4401

Mailing address

851 N California Ave # C1
Chicago, IL 60622-4401
Phone (419) 366-3645

Other names 1

  • PelvicSynergy Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL laptop

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240411000669 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012355993 Receives reassigned benefits from 4 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

805 N Milwaukee Ave
Ste 102
Chicago, IL 60642

Practitioners & affiliated clinicians

Practitioners 4

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": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1922753326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 N CALIFORNIA AVE # C1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224401",
            "telephone_number": "419-366-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 N CALIFORNIA AVE # C1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224401",
            "telephone_number": "419-366-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PF PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "419-366-3645",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "851 N California Ave # C1",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606224401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PelvicSynergy Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.