Physiohealth Medical Group LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PHYSIOHEALTH MEDICAL GROUP LLC

Practice address

600 W 26TH St
Chicago, IL 60616-1806

Phone

(312) 513-0170

NPI assigned

Jan 24, 2024

Last updated

Jan 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian AndersonNPI 1265048243

Title

Co-Owner/ Ceo

Phone

(312) 513-0170

Specialties & licenses 3

Addresses

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.

• Brian Anderson, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1265048243
  NPD Authorized official

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1972365187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161806",
            "telephone_number": "312-513-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161806",
            "telephone_number": "312-513-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOHEALTH MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CO-OWNER/ CEO",
        "authorized_official_telephone_number": "312-513-0170"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Surgery Care Center
• Physio Chicago PLLC (Physio Chicago Physical Therapy and Fitness)
• Physio Health PLLC
• Physio PR, PLLC
• Physioactive Rehab & Conditioning
• Physiotherapy Associates Inc (Novacare Rehabilitation)
• Physiotherapy Associates Inc (The Pediatric Place-LP)
• Physiotherapy Associates, Inc. (NovaCare Rehabilitation)
• Danielle Pi
• Jason Piant, O. D.

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.