BODHI & SAGE, LLC
NPI 1538534359
Clinic/Center - Physical Therapy in Chicago, IL

Active since December 04, 2015
1525 E 53RD ST STE 808, CHICAGO, IL 60615(312) 403-1853 Get Directions Write a Review

NPPES record last updated: December 8, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 8, 2015, Dec 4, 2015 (2 updates tracked since 2015).

About Bodhi & Sage, Llc NPPES

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

BODHI & SAGE, LLC (NPI 1538534359) is a healthcare organization registered as a physical therapy in Chicago, Illinois and active in the NPI registry since December 2015. The organization lists Roger Fong, Member, as its authorized official.

NPPES Registry Identity

NPI1538534359
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameBODHI & SAGE, LLC
Location Address1525 E 53RD ST STE 808Chicago, IL 60615-4583
Mailing Address1525 E 53rd St Ste 808Chicago, IL 60615-4583
Organization SubpartNo
Authorized OfficialRoger FongMember · (312) 403-1853
Enumeration DateDecember 4, 2015
Last NPPES UpdateDecember 8, 20152 updates tracked since enumeration
✔ NPI 1538534359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in IL · 070013559
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.
Also ListedAcupuncturistTaxonomy 171100000X
1525 E 53RD ST STE 808, Chicago, IL 60615

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bodhi & Sage, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bodhi & Sage, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1821352915
4835 S LANGLEY AVE
Chicago, IL 60615
(312) 403-1853
✔ Accepts Medicare1.2 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 Bodhi & Sage, LLC's NPI number?

The NPI number for Bodhi & Sage, LLC is 1538534359. It was assigned to this organization in the NPPES registry on December 4, 2015.

Where is Bodhi & Sage, LLC located?

Bodhi & Sage, LLC is located at 1525 E 53rd St Ste 808, Chicago, IL 60615. The listed phone number is (312) 403-1853.

What is Bodhi & Sage, LLC's specialty?

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

Is Bodhi & Sage, LLC enrolled in Medicare?

Yes. Bodhi & Sage, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bodhi & Sage, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Bodhi & Sage, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bodhi & Sage, LLC was last updated on December 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.