Caryn Renee Dubois, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.000234 Issued in IL

Practice address

15430 West Ave
Orland Park, IL 60462-4661

Phone

(708) 923-5050

Fax

(708) 226-2528

NPI assigned

Dec 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1033877907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15430 WEST AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624661",
            "telephone_number": "708-923-5050",
            "fax_number": "708-226-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15430 WEST AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624661",
            "telephone_number": "708-923-5050",
            "fax_number": "708-226-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "CARYN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.000234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen J Drinan, DO
• Drive Thru Clinic & Drive Thru Care, P.C.
• Samija Drndar
• DRS.Brasky,Feldner & Associates LTD.
• Du Page Medical Group LTD
• Priscilla T Dubois, PSYD
• Thierry J Dubois, M.D.
• Dui Groups LLC
• Dumais Pediatrics, SC
• Brian Patrick Dumais, M.D.

• Physical Therapy Assistant in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.