Provider Demographics
NPI:1558235895
Name:SAMPSON, JOSEPH BRUCE (PT, DPT, CLT)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:BRUCE
Last Name:SAMPSON
Suffix:
Gender:M
Credentials:PT, DPT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 W ILLINOIS ST UNIT 1305
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-4631
Mailing Address - Country:US
Mailing Address - Phone:540-661-7151
Mailing Address - Fax:
Practice Address - Street 1:1801 W TAYLOR ST STE 2C
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4795
Practice Address - Country:US
Practice Address - Phone:312-355-4394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.028313225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty