BOUNDLESS PHYSICAL THERAPY
NPI 1790079077
Physical Therapist - Orthopedic in Chicago, IL

NPI Status: Active since June 04, 2011

Contact Information

2929 N SOUTHPORT AVE
CHICAGO, IL
ZIP 60657
Phone: (312) 566-8460

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  • Organization
  • Physical Therapist
  • Orthopedic

About BOUNDLESS PHYSICAL THERAPY

This page provides the complete NPI Profile along with additional information for Boundless Physical Therapy, a provider established in Chicago, Illinois operating as a Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1790079077 assigned on June 2011. The practitioner's primary taxonomy code is 2251X0800X with license number 070013293 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Boundless Physical Therapy. The authorized official of this NPI record is Jessica Brelje Mpt (Owner, Physical Therapist)

NPI
1790079077
Provider Legal Name
BOUNDLESS HEALTH, LLC
Other Organization Name
BOUNDLESS PHYSICAL THERAPY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2929 N SOUTHPORT AVE CHICAGO, IL 60657
Location Phone
(312) 566-8460
Mailing Address
516 N OGDEN AVE #203 CHICAGO, IL 60642
Mailing Phone
(773) 562-0907
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-04-2011
Last Update Date
06-04-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Orthopedic

Taxonomy Code
2251X0800X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
070013293
License State
IL
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JESSICA BRELJE MPT

Authorized Official Title
OWNER, PHYSICAL THERAPIST
Authorized Official Phone
(773) 562-0907

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790079077
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271800718014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 0 + 7 + 1 + 8 + 0 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1790079077 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881673671MS. ANGELA WILSON PENNISI PT
Individual
Physical Therapist2929 N SOUTHPORT AVE
CHICAGO, IL 60657
(773) 665-9950
1336396985 STEPHANIE ELIZABETH PENNY DPT
Individual
Physical Therapist2929 N SOUTHPORT AVE
CHICAGO, IL 60657
(773) 665-9950
1083936256MS. BLAIRE BROERS BROWN DPT
Individual
Physical Therapist (Orthopedic)2929 N SOUTHPORT AVE
CHICAGO, IL 60657
(773) 665-9947
1205203494DR. JOSEPH RAYMOND ASCHER PT, DPT
Individual
Physical Therapist2929 N SOUTHPORT AVE
CHICAGO, IL 60657
(773) 665-9950
1134449747DR. MITAL SPATZ DDS
Individual
Dentist (Pediatric Dentistry)2929 N SOUTHPORT AVE
CHICAGO, IL 60657
(773) 328-8282

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790079077, enumerated in the NPI registry as an "organization" on June 04, 2011

The provider is located at 2929 N Southport Ave Chicago, Il 60657 and the phone number is (312) 566-8460

This medical organization specializes in Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic

This NPI record was last updated on June 04, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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