Roger Greg Peloquero Fernandez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.017523 Issued in IL

Practice address

7504 W Lawrence Ave
Apt. GD
Harwood Heights, IL 60706-3458

Phone

(312) 391-4891

NPI assigned

May 27, 2015

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2015.

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1013396860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 W LAWRENCE AVE",
            "address_2": "APT. GD",
            "city": "HARWOOD HEIGHTS",
            "state": "IL",
            "postal_code": "607063458",
            "telephone_number": "312-391-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 W LAWRENCE AVE",
            "address_2": "APT. GD",
            "city": "HARWOOD HEIGHTS",
            "state": "IL",
            "postal_code": "607063458",
            "telephone_number": "312-391-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ROGER GREG",
        "middle_name": "PELOQUERO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.017523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Sara Drab, DDS
• Linda Jean Dudek-Francis, D.N.
• Dudek-Francishealthcareandpainmanagementcenterp.C.
• Michael Embrey, LCSW
• Jessica Lorraine Estrada
• Financial Wellness Therapy and Counseling PLLC
• Fortis Pharmaceuticals, LLC
• Ralph Edward Francis, D.N.
• Ingrid G. Ganim, LCPC
• Audrey J Guidarelli, LCSW

• All providers in Harwood Heights, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.