NPIMap

Organization Active NPI

Kamin Physical Therapy

  • Physical Therapy Clinic/Center
  • Park Ridge, IL
National Provider Identifier
1013044536
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070013246 Issued in IL
Legal business name
KAMIN PHYSICAL THERAPY
Practice address
770 Busse Hwy
Suite C
Park Ridge, IL 60068-2441
Phone
(847) 384-6804
Fax
(847) 384-6806
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Heather L Moky, DPTNPI 1699805630
Title
Physical Therapist
Phone
(847) 384-6804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 070013246 IL Primary

Addresses

Primary practice location

770 Busse Hwy
Suite C
Park Ridge, IL 60068-2441

Mailing address

770 Busse Hwy
Suite C
Park Ridge, IL 60068-2441
Phone (847) 384-6804

National Provider Directory

National Provider Directory
Tax ID family
Kamin Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

770 Busse Hwy
Ste C
Park Ridge, IL 60068
Phone (847) 384-6804

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013044536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 BUSSE HWY",
            "address_2": "SUITE C",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682441",
            "telephone_number": "847-384-6804",
            "fax_number": "847-384-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 BUSSE HWY",
            "address_2": "SUITE C",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682441",
            "telephone_number": "847-384-6804",
            "fax_number": "847-384-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMIN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOKY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "847-384-6804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070013246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.