STABILITY PHYSICAL THERAPY AND WELLNESS, LLC (NPI# 1518597772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518597772 |
| Entity Type | Organization |
| Organization Name | STABILITY PHYSICAL THERAPY AND WELLNESS, LLC |
| Practice Address |
5031 W Balmoral Ave Chicago IL 60630-1507 |
| Practice Telephone | 3124479794 |
| Mailing Telephone | 3124479794 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-18 |
| Authorized Official Name | STEPHANIE GENDRON (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 3124479794 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PHYSICAL THERAPY LICENSE | 070.016196 | 01 |
| Street Address |
5031 W BALMORAL AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60630-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1811419476 | Jill Swartzmiller | Occupational Therapist | 5248 N Liano Ave, Chicago, IL 60630 | 2017-07-14 |
| 1588193908 | Vanessa Landa | Behavior Technician | 4831 N Mobile, Chicago, IL 60630 | 2017-06-08 |
| 1851753784 | Claudia Melendez | Counselor | 4935 N Kedvale Ave., 1st Flr., Chicago, IL 60630 | 2016-03-21 |
| 1174983795 | Cheryl Ann Howe | Speech-Language Pathologist | 4714 N. Laramie Ave., Chicago, IL 60630 | 2016-02-24 |
| 1740657055 | Nihar Shah | Pharmacist | 4010 W Lawrence, Chicago, IL 60630 | 2015-08-24 |
| 1326450966 | Robert E Placzek | Dentist | 5650 W. Lawrence Ave., Chicago, IL 60630 | 2014-06-02 |
| 1730426545 | Violet Bernadet Mcguane | Nurse Practitioner | 4801 N Central, Chicago, IL 60630 | 2013-01-14 |
| 1639455231 | Jinnah A Caluag | Pharmacist | 4010 W. Lawrence, Chicago, IL 60630 | 2011-10-26 |
| 1255616256 | Marcus Kim | Pharmacist | 4010 W. Lawrence Ave, Chicago, IL 60630 | 2011-10-21 |
| Find all providers in zip 60630 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986891 | Murtaza Aziz | Physical Therapist | 1431 N Western Ave Ste 140, Chicago, IL 60622-1770 | 2020-09-14 |
| 1902416720 | Epicore Physical Therapy | Physical Therapist | 1660 N La Salle Dr Apt 2708, Chicago, IL 60614-6021 | 2020-08-06 |
| 1891217683 | Zachary Michael Stapleton | Physical Therapist | 5841 S Maryland Ave # W107, Chicago, IL 60637-1447 | 2017-07-13 |
| 1548716483 | El Rey Corporation | Physical Therapist | 2250 W Belmont Ave Unit 1w, Chicago, IL 60618-6561 | 2016-08-31 |
| 1518323112 | Saxony A Matousek | Physical Therapist | 8750 W Bryn Mawr, Chicago, IL 60631-3569 | 2016-01-12 |
| 1710239132 | Alyssa Davis | Physical Therapist | 819 W. Blackhawk, Chicago, IL 60642 | 2012-10-09 |
| 1700173093 | Physical Sciences Institute, Inc. | Physical Therapist | 1335 W Lake St, Chicago, IL 60607-1518 | 2011-07-07 |
| 1467778357 | Elizabeth Mary Amoroso | Physical Therapist | 1850 N Clark St, #2504, Chicago, IL 60614-5301 | 2010-04-16 |
| 1770811705 | Erin Colleen Dinsmore Schreiber | Physical Therapist | 10318 S Western Ave, Chicago, IL 60643-2411 | 2009-12-02 |
| 1922265438 | Carol Courtney | Physical Therapist | 1919 W Taylor St Rm 425, Chicago, IL 60612-7246 | 2008-05-21 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.