Active NPI
Jennifer Marie Yohnka, PHYSICAL THERAPIST
- Physical Therapist
- Mokena, IL
National Provider Identifier
1013056324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 19065 Hickory Creek Drive
Kids Can DO Inc Suite 110
Mokena, IL 60448 - Phone
- (708) 478-5400
- Fax
- (708) 478-5300
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Primary |
Addresses
Primary practice location
19065 Hickory Creek Drive
Kids Can DO Inc Suite 110
Mokena, IL 60448
Mailing address
915 S Greenwood Avenue
Kankakee, IL 60901
Phone (815) 933-7478
Other names 1
- Miss Jennifer Marie Conway
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070013404 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Can DO, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013056324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 S GREENWOOD AVENUE",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "60901",
"telephone_number": "815-933-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19065 HICKORY CREEK DRIVE",
"address_2": "KIDS CAN DO INC SUITE 110",
"city": "MOKENA",
"state": "IL",
"postal_code": "60448",
"telephone_number": "708-478-5400",
"fax_number": "708-478-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOHNKA",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "CONWAY",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "PHYSICAL THERAPIST",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mokena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.