Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Nellamattom

Individual provider Physical Therapist · NPI 1205551421

Justin Nellamattom is a Physical Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

5315 N Sheridan Rd
Chicago, IL 60640-2531
Phone: (773) 541-2020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070026812 (IL)

Record details

NPI number1205551421
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 10, 2022
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022

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