Healthcare Provider Details

I. General information

NPI: 1023934544
Provider Name (Legal Business Name): NORTHSIDE PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3937 N LEAVITT ST APT 2
CHICAGO IL
60618-3898
US

IV. Provider business mailing address

3937 N LEAVITT ST APT 2
CHICAGO IL
60618-3898
US

V. Phone/Fax

Practice location:
  • Phone: 248-797-6762
  • Fax:
Mailing address:
  • Phone: 248-797-6762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: EMILY RIMLER
Title or Position: PHYSICAL THERAPIST/OWNER
Credential:
Phone: 248-797-6762