Active NPI
Physical Therapy and Cosmetology Integrated
- Physical Therapy Clinic/Center
- Chicago, IL
National Provider Identifier
1972049385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PHYSICAL THERAPY AND COSMETOLOGY INTEGRATED
- Practice address
- 5515 W North Ave
Chicago, IL 60639-4207 - Phone
- (312) 296-1404
- NPI assigned
- Jan 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Apolinario Occena Dela Cruz Jr.
- Title
- President
- Phone
- (312) 296-1404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
5515 W North Ave
Chicago, IL 60639-4207
Mailing address
5515 W North Ave
Chicago, IL 60639-4207
Phone (312) 296-1404
National Provider Directory
National Provider DirectoryLocations
5515 W North Ave
Chicago, IL 60639
Phone (312) 296-1404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483920000000",
"number": "1972049385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5515 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606394207",
"telephone_number": "312-296-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5515 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606394207",
"telephone_number": "312-296-1404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL THERAPY AND COSMETOLOGY INTEGRATED",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-09",
"last_updated": "2017-01-09",
"status": "A",
"authorized_official_last_name": "DELA CRUZ",
"authorized_official_first_name": "APOLINARIO",
"authorized_official_middle_name": "OCCENA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-296-1404",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Phychoice Management Solutions, Inc.
- Physical Fundamentals, PLLC
- Physical Sciences Institute, Inc.
- Physical Therapy & Rehab Net Inc
- Physical Therapy 360 Inc
- Physical Therapy Chicago, LTD
- Physical Therapy Clinic of Chicago, P.C.
- Physical Therapy Network PC
- Physical Therapy Practice LTD.
- Physical Therapy Providers Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.