Active NPI
Temitope Adedamola Asein, PT
- Physical Therapist
- Matteson, IL
National Provider Identifier
1093992182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070014748
- Practice address
- 21321 Knightbridge CT
Matteson, IL 60443-2962 - Phone
- (708) 539-7811
- NPI assigned
- Jan 30, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070014748 | IL | Primary |
Addresses
Primary practice location
21321 Knightbridge CT
Matteson, IL 60443-2962
Mailing address
21321 Knightbridge CT
Matteson, IL 60443-2962
Phone (708) 539-7811
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070014748 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelerated Rehabilitation Centers LTD | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Westmont, IL
- NPI 1205875713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1093992182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21321 KNIGHTBRIDGE CT",
"city": "MATTESON",
"state": "IL",
"postal_code": "604432962",
"telephone_number": "708-539-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21321 KNIGHTBRIDGE CT",
"city": "MATTESON",
"state": "IL",
"postal_code": "604432962",
"telephone_number": "708-539-7811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASEIN",
"first_name": "TEMITOPE",
"middle_name": "ADEDAMOLA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070014748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matteson, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.