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

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

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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Location Map

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

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.
1	7	9	0	0	7	9	0	7	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	18	0	0	7	18	0	14
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 = 7									7

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.