Unknown Individual – Physical Therapist, NPI 1639281454

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Physical Therapist. They hold a License No. 070006962 (IL). The NPI Number for Unknown Individual is 1639281454

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639281454
Phone
(630) 254-3621
Address
6039 W BELMONT AVE
Deactivation Date
2 November 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • West Belmont Avenue, Avondale, Chicago, Cook County, Illinois, 60618, United States

    CHICAGO, IL 606345116

    Phone: (630) 254-3621

    Type: Location

  • Maple Avenue, Palatine, Palatine Township, Cook County, Illinois, 60067, United States

    PALATINE, IL 600672238

    Phone: (630) 254-3621

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60634)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1639281454 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Illinois is Unknown Individual registered?
Use Chicago, Illinois as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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