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SOUTH LOOP PEDIATRIC THERAPY LLC
NPI 1356677462
Physical Therapist - Pediatrics in Chicago, IL

Active since October 23, 2009
1515 S PRAIRIE AVE, UNIT 603, CHICAGO, IL 60605(773) 733-1695(773) 435-6595 Get Directions Write a Review

NPPES record last updated: October 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Loop Pediatric Therapy Llc NPPES

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

SOUTH LOOP PEDIATRIC THERAPY LLC (NPI 1356677462) is a healthcare organization registered as a pediatrics in Chicago, Illinois and active in the NPI registry since October 2009. The organization lists Jana Marlene Susie, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1356677462
Entity TypeOrganization
Primary Taxonomy2251P0200X
Legal Business NameSOUTH LOOP PEDIATRIC THERAPY LLC
Location Address1515 S PRAIRIE AVE, UNIT 603Chicago, IL 60605-3043
Mailing Address1515 S Prairie Ave, Unit 603Chicago, IL 60605-3043 · (773) 733-1695 · Fax (773) 435-6595
Phone(773) 733-1695
Fax(773) 435-6595
Organization SubpartNo
Authorized OfficialJana Marlene SusiePhysical Therapist · (773) 733-1695
Enumeration DateOctober 23, 2009
✔ NPI 1356677462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in IL · 070.013558
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X · License 070.013558 (IL)
1515 S PRAIRIE AVE, Chicago, IL 60605
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES EDWARD GONZALES CST/CSFA
Specialist/Technologist, Other (Surgical Assistant)
1515 S PRAIRIE AVE, 1302
CHICAGO, IL 60605
Cook County (708) 705-3772

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 South Loop Pediatric Therapy LLC's NPI number?

The NPI number for South Loop Pediatric Therapy LLC is 1356677462. It was assigned to this organization in the NPPES registry on October 23, 2009.

Where is South Loop Pediatric Therapy LLC located?

South Loop Pediatric Therapy LLC is located at 1515 S Prairie Ave Unit 603, Chicago, IL 60605. The listed phone number is (773) 733-1695.

What is South Loop Pediatric Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for South Loop Pediatric Therapy LLC was last updated on October 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.