Organization Active NPI

Applied Preventology, Inc

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1972703353
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.011867 Issued in IL
Legal business name
APPLIED PREVENTOLOGY, INC
Practice address
7706 W Touhy Ave
Chicago, IL 60631-4200
Phone
(773) 775-1443
NPI assigned
Jul 23, 2007
Last updated
May 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Joanna Lembert
Title
Ceo
Phone
(773) 775-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.011867 IL Primary

Addresses

Primary practice location

7706 W Touhy Ave
Chicago, IL 60631-4200

Mailing address

7706 W Touhy Ave
Chicago, IL 60631-4200

Other identifiers 3

IdentifierTypeStateIssuer
1628105OtherILBCBS OF ILLINOIS
367178181MedicaidIL
367178181OtherILHUMANA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050621000268 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547209496 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

7706 W Touhy Ave
Chicago, IL 60631
Phone (708) 525-4640

Practitioners & affiliated clinicians

Practitioners 2

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": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1972703353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7706 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606314200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7706 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606314200",
            "telephone_number": "773-775-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED PREVENTOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "LEMBERT",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-775-1443"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.011867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "1628105",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367178181",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "367178181",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 29, 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.