Individual provider Active NPI

Kevin Newman Bey, LMT

  • Mechanotherapist
  • Indian Head Park, IL
National Provider Identifier
1083088454
Registry record updated Nov 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
227012208 Issued in IL
Practice address
6972 Wolf Rd
Indian Head Park, IL 60525-4800
Phone
(331) 222-1800
NPI assigned
Nov 22, 2015
Last updated
Nov 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 227012208 IL Primary

Addresses

Primary practice location

6972 Wolf Rd
Indian Head Park, IL 60525-4800

Mailing address

3111 Grove Ave
Berwyn, IL 60402-3023
Phone (331) 222-1800

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

LicenseStateTypeSpecialty
227012208ILMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1448150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448150400000",
    "number": "1083088454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 GROVE AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023023",
            "telephone_number": "331-222-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6972 WOLF RD",
            "city": "INDIAN HEAD PARK",
            "state": "IL",
            "postal_code": "605254800",
            "telephone_number": "331-222-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN BEY",
        "first_name": "KEVIN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-22",
        "last_updated": "2015-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "IL",
            "license": "227012208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Head Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2015; 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.