Organization Active NPI

Quest Physical Therapy, LTD.

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1972528149
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
QUEST PHYSICAL THERAPY, LTD.
Practice address
5934 W. Montrose Ave.
Chicago, IL 60634
Phone
(773) 685-0911
Fax
(773) 282-6241
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Tomasz Citak, PTNPI 1578631131
Title
President
Phone
(773) 685-0911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5934 W. Montrose Ave.
Chicago, IL 60634

Mailing address

5935 W. Montrose Ave.
Chicago, IL 60634
Phone (773) 685-0911

Other identifiers 1

IdentifierTypeStateIssuer
01636637OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • QUEST PHYSICAL THERAPY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070208000683 IL Part B Supplier - Clinic/Group Practice 7517969207 Receives reassigned benefits from 4 practitioners
Practice locations: Chicago, IL; Schaumburg, IL

National Provider Directory

National Provider Directory

Locations

5935 W Montrose Ave
Chicago, IL 60634
Phone (773) 685-0911

5934 W Montrose Ave
Chicago, IL 60634
Phone (773) 283-3114

911 N Plum Grove Rd
Unit D
Schaumburg, IL 60173
Phone (773) 685-0911

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1972528149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 W. MONTROSE AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60634",
            "telephone_number": "773-685-0911",
            "fax_number": "773-282-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5934 W. MONTROSE AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60634",
            "telephone_number": "773-685-0911",
            "fax_number": "773-282-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST PHYSICAL THERAPY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "CITAK",
        "authorized_official_first_name": "TOMASZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-685-0911",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01636637",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUEST 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 May 7, 2013; 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.