Ann Ekstrom Feehan, PT

Key facts

NPI

1063502292

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

070003533 (IL)

Practice address

3105 N Wilke Rd
Suite H
Arlington Heights, IL 60004-1495

Phone

(847) 255-8690

Fax

(847) 255-2260

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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.

• Lurie Children'S Health Services, LLC Physical Therapist · Arlington Heights, IL · NPI 1124724919
  NPD (past) PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 14, 2024.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1063502292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S RAMMER AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600046634",
            "telephone_number": "847-394-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 N WILKE RD",
            "address_2": "SUITE H",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041495",
            "telephone_number": "847-255-8690",
            "fax_number": "847-255-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEEHAN",
        "first_name": "ANN",
        "middle_name": "EKSTROM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070003533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Arlington Heights, IL · Physical Therapist in Illinois