Active NPI
Yash Kaushik
- Clinical Electrophysiology Physical Therapist
- Crete, IL
National Provider Identifier
1073085379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Electrophysiology Physical Therapist
- License
- 070020308
- Practice address
- 1251 E Richton Rd
Crete, IL 60417-1623 - Phone
- (708) 539-5200
- NPI assigned
- Dec 26, 2018
- Last updated
- Dec 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Electrophysiology Physical Therapist | 2251E1300X | 070020308 | IL | Primary |
Addresses
Primary practice location
1251 E Richton Rd
Crete, IL 60417-1623
Mailing address
19422 Lisadell Dr
Tinley Park, IL 60487-4473
Phone (708) 539-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070020308 | IL | MD | Clinical Electrophysiology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545782400000",
"number": "1073085379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19422 LISADELL DR",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604874473",
"telephone_number": "708-539-5200",
"fax_number": "708-554-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 E RICHTON RD",
"city": "CRETE",
"state": "IL",
"postal_code": "604171623",
"telephone_number": "708-539-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUSHIK",
"first_name": "YASH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-26",
"last_updated": "2018-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "IL",
"license": "070020308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crete, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.