Active NPI
Dennilyne Ubayubay, PT
- Physical Therapist
- Carol Stream, IL
National Provider Identifier
1114647617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070022291
- Practice address
- 124 Windsor Park Dr
Carol Stream, IL 60188-1986 - Phone
- (630) 488-0529
- NPI assigned
- Sep 2, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070022291 | IL | Primary |
Addresses
Primary practice location
124 Windsor Park Dr
Carol Stream, IL 60188-1986
Mailing address
113 Stirling LN
Schaumburg, IL 60194-4827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240301002773 | IL | Practitioner - Physical Therapist in Private Practice | 6406291228 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070022291 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1114647617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 STIRLING LN",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601944827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 WINDSOR PARK DR",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601881986",
"telephone_number": "630-488-0529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UBAYUBAY",
"first_name": "DENNILYNE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070022291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.