Khaled P Oweimrin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-010227 Issued in IL

Practice address

8019 Lincoln Ave
Skokie, IL 60077-3611

Phone

(773) 490-0151

NPI assigned

May 15, 2007

Last updated

Sep 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesis Orthopedics and Sports Medicine LLCGroup PAC ID 7618955808, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Aster Home Health Service, LLC

  • Home Health Agency
  • Chicago, IL
  • NPI 1770884819

  5% Or Greater Direct Ownership Interest

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Orthopedics & Sports Medicine LLC

  • Orthopaedic Surgery Physician
  • St Charles, IL
  • NPI 1346389061
  Medicare reassignment Care Compare group NPD
• Levelhealth, LLC

  • Durable Medical Equipment & Medical Supplies
  • Harwood Heights, IL
  • NPI 1720620156
  NPD Authorized official
• Chicago PT Management, Inc.

  • Rehabilitation Clinic/Center
  • Skokie, IL
  • NPI 1518174705
  Authorized official Same address or phone
• Genesis Orthopedics & Sports Medicine LLC

  dba Genesis Orthopedics & Sports Medicine DME

  • Durable Medical Equipment & Medical Supplies
  • Oak Brook, IL
  • NPI 1467954016
  NPD
• Iris Home Health Services LLC

  • Home Health Agency
  • Peoria, IL
  • NPI 1528327103
  NPD (past)
• Midwest Mind Care PLLC

  • Psychiatry Physician
  • South Barrington, IL
  • NPI 1437551546
  NPD (past)
• Professional Health Sport, Inc.

  • General Practice Physician
  • Chicago, IL
  • NPI 1063632917
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1023224987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY STE 103",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563457",
            "telephone_number": "847-227-8400",
            "fax_number": "847-239-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 LINCOLN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773611",
            "telephone_number": "773-490-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEIMRIN",
        "first_name": "KHALED",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-010227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "216447",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Faye Treger Oskin, LCSW, DT
• Jennie Park Ou, MD
• Tiffany Owen
• P&E Dental P.C.
• Anna Pacheco, PT
• Rupali G Padhiar, DPT
• Juan Pagador

• Physical Therapist in Skokie, IL
• Providers in Skokie, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.