Cody Hutchinson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.006898 Issued in IL

Practice address

2943 W Jefferson St
Joliet, IL 60435

Phone

(630) 920-4670

Fax

(630) 920-4687

NPI assigned

Jun 3, 2016

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Premier Physical Therapy PC

  • Physical Therapist
  • Evergreen Park, IL
  • NPI 1336127117
  NPD (past)

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1053769760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BURR RIDGE PKWY",
            "address_2": "SUITE 200",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270849",
            "telephone_number": "630-920-4670",
            "fax_number": "630-920-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2943 W JEFFERSON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "630-920-4670",
            "fax_number": "630-920-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "CODY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.006898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Shin Hur, MD
• Jason Gregory Hurbanek, M.D.
• Ann Hurley, PT
• Hussein Orellana LTD
• Abdulhamid Taha Hussein, MD
• Margaret Hutson-Nechkash, SLP
• Ciro Louis Iandoli, MD
• Iatreia Mental Health SC
• Iatreia Mental Health SC
• Iatreia Mental Health SC

• Physical Therapy Assistant in Joliet, IL
• Providers in Joliet, 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 Jun 3, 2016; 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.