FREEFORM PHYSICAL THERAPY LLC
NPI 1275152746
Clinic/Center - Physical Therapy in Chicago, IL

Active since April 14, 2020
2906 W FULLERTON AVE, CHICAGO, IL 60647(773) 301-3735 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2020, Apr 14, 2020 (2 updates tracked since 2020).

About Freeform Physical Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREEFORM PHYSICAL THERAPY LLC (NPI 1275152746) is a healthcare organization registered as a physical therapy in Chicago, Illinois and active in the NPI registry since April 2020. The organization lists Omer Aguilar, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1275152746
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameFREEFORM PHYSICAL THERAPY LLC
Location Address2906 W FULLERTON AVEChicago, IL 60647-2921
Mailing Address2906 W Fullerton AveChicago, IL 60647-2921 · (773) 301-3735
Organization SubpartNo
Authorized OfficialOmer AguilarPhysical Therapist · (773) 301-3735
Enumeration DateApril 14, 2020
Last NPPES UpdateMay 19, 20202 updates tracked since enumeration
NPPES CertifiedMay 19, 2020
✔ NPI 1275152746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
2906 W FULLERTON AVE, Chicago, IL 60647

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Freeform Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Freeform Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Physical Therapist in Private Practice
NPI 1851792600
2906 W FULLERTON AVE
Chicago, IL 60647
(773) 698-6659
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1215712179
2906 W FULLERTON AVE
Chicago, IL 60647
(773) 698-6659
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1518682384
2906 W FULLERTON AVE
Chicago, IL 60647
(773) 698-6659
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1932325891
221 N LA SALLE ST
Chicago, IL 60601
(312) 855-9206
✔ Accepts Medicare4.4 mi
Physical Therapist in Private Practice
NPI 1316163181
600 OAKMONT LN STE 600C
Westmont, IL 60559
(630) 575-1980
✔ Accepts Medicare15 mi
Physical Therapist in Private Practice
NPI 1265117295
2030 GLADE RD STE 200
Grapevine, TX 76051
(817) 684-0397
✔ Accepts Medicare809 mi
Physical Therapist in Private Practice
NPI 1760369508
1425 BELMONT DR
Longmont, CO 80503
(303) 963-5582
✔ Accepts Medicare917 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freeform Physical Therapy LLC's NPI number?

The NPI number for Freeform Physical Therapy LLC is 1275152746. It was assigned to this organization in the NPPES registry on April 14, 2020.

Where is Freeform Physical Therapy LLC located?

Freeform Physical Therapy LLC is located at 2906 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 301-3735.

What is Freeform Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Freeform Physical Therapy LLC enrolled in Medicare?

Yes. Freeform Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Freeform Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Freeform Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Freeform Physical Therapy LLC was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.