LIFESPORT PHYSICAL THERAPY PC
NPI 1881312874
Clinic/Center - Physical Therapy in Chicago, IL

Active since August 16, 2022
2000 N RACINE AVE, CHICAGO, IL 60614(312) 330-1607 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lifesport Physical Therapy Pc NPPES

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

LIFESPORT PHYSICAL THERAPY PC (NPI 1881312874) is a healthcare organization registered as a physical therapy in Chicago, Illinois and active in the NPI registry since August 2022. The organization lists Jon Williams, President, as its authorized official.

NPPES Registry Identity

NPI1881312874
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameLIFESPORT PHYSICAL THERAPY PC
Location Address2000 N RACINE AVEChicago, IL 60614-7006
Mailing Address135 Montgomery LnGlenview, IL 60025-4924 · (312) 330-1607
Organization SubpartNo
Authorized OfficialJon WilliamsPresident · (312) 330-1607
Enumeration DateAugust 16, 2022
NPPES CertifiedAugust 16, 2022
✔ NPI 1881312874 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.
2000 N RACINE AVE, Chicago, IL 60614

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifesport Physical Therapy Pc 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 Lifesport Physical Therapy PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1811275282
2235 N SHEFFIELD AVE ROOM 120
Chicago, IL 60614
(773) 525-4966
✔ Accepts Medicare0.4 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 Lifesport Physical Therapy PC's NPI number?

The NPI number for Lifesport Physical Therapy PC is 1881312874. It was assigned to this organization in the NPPES registry on August 16, 2022.

Where is Lifesport Physical Therapy PC located?

Lifesport Physical Therapy PC is located at 2000 N Racine Ave, Chicago, IL 60614. The listed phone number is (312) 330-1607.

What is Lifesport Physical Therapy PC's specialty?

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

Is Lifesport Physical Therapy PC enrolled in Medicare?

Yes. Lifesport Physical Therapy PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifesport Physical Therapy PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Lifesport Physical Therapy PC. 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 Lifesport Physical Therapy PC was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.