# FOUNDATION PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407692353
- **Authorized official:** ELVIS SAKO PT, DPT (OWNER, PHYSICAL THERAPIST)
- **Authorized official phone:** (216) 258-6744

## Contact information

- **Practice address:** 3834 N BROADWAY ST, CHICAGO, IL 60613-3218
- **Practice address phone:** (216) 258-6744
- **Mailing address:** 1852 N BISSELL ST UNIT 2, CHICAGO, IL 60614-5013
- **Mailing address phone:** (162) 586-7442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2024
- **Last updated:** 05/23/2025