360 Physical Therapy, LLC
Physical Therapist in Chicago, Illinois
1154651149- Practice location
- 564 W Jackson Blvd, Chicago, IL 60661-5702
- Phone
- 312-614-1349
- Fax
- 312-526-3312
- Last updated
- November 13, 2013
360 Physical Therapy, LLC is a healthcare organization based in Chicago, IL. The NPI number for 360 Physical Therapy, LLC is 1154651149 and holds license No. 070015710 (IL). The current practice location address is 564 W Jackson Blvd, Chicago, IL 60661-5702 and the office can be reached by phone at 312-614-1349 and by fax at 312-526-3312. The NPI was assigned on January 13, 2010 and the record was last updated in NPPES on November 13, 2013.
●Provider Profile Details
- NPI Number
- 1154651149
- Provider Name
- 360 Physical Therapy, LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Physical Therapist · 225100000X
- Organization Subpart
- No
- Authorized Official
- Mr. Adam D Wolf, PT · Owner / Physical Therapist · 312-614-1349
- Enumeration Date
- January 13, 2010
- Last Update Date
- November 13, 2013
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 564 W Jackson Blvd
Chicago, IL 60661-5702 - City
- Chicago
- State
- Illinois
- ZIP
- 60661-5702
- Country
- US
- Phone Number
- 312-614-1349
- Fax Number
- 312-526-3312
✉Business Mailing Address
- Address
- 564 W Jackson Blvd
Chicago, IL 60661-5702 - City
- Chicago
- State
- IL
- ZIP
- 60661-5702
- Phone Number
- 312-614-1349
- Fax Number
- 312-526-3312
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physical Therapist 193400000X - Single Specialty Group | 225100000X | Yes | 070015710 | IL |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Chicago →?Frequently Asked Questions
What is the NPI number of 360 Physical Therapy, LLC?
The NPI number of 360 Physical Therapy, LLC is 1154651149. It was assigned on January 13, 2010 and is currently active in the NPPES registry.
What is the specialty of 360 Physical Therapy, LLC?
360 Physical Therapy, LLC is registered under the primary taxonomy Physical Therapist (code 225100000X) and holds license No. 070015710 (IL).
Where does 360 Physical Therapy, LLC practice?
The practice location is 564 W Jackson Blvd, Chicago, IL 60661-5702. The office can be reached at 312-614-1349 (phone) or 312-526-3312 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154651149 directly on the NPPES registry website at npiregistry.cms.hhs.gov.