Jorek Bordas Combenido

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070022771 Issued in IL

Practice address

4340 N Keystone Ave
Chicago, IL 60641-2121

Phone

(773) 545-8700

NPI assigned

Feb 11, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Powerback Rehabilitation LLC

  • Physical Therapist
  • O Fallon, IL
  • NPI 1982018362
  Medicare reassignment Care Compare group
• Av360 LLC

  • Health Educator
  • Algonquin, IL
  • NPI 1013515501
  Medicare reassignment NPD
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • North Riverside, IL
  • NPI 1699094102
  Medicare reassignment NPD
• Fox Rehabilitation Services Il LLC

  • Physical Therapist
  • Westchester, IL
  • NPI 1114443462
  Medicare reassignment NPD
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Lagrange, GA
  • NPI 1881458354
  NPD

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

{
    "created_epoch": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518307200000",
    "number": "1124527650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 N MOBILE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341585",
            "telephone_number": "224-703-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 N KEYSTONE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412121",
            "telephone_number": "773-545-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBENIDO",
        "first_name": "JOREK",
        "middle_name": "BORDAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-11",
        "last_updated": "2018-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice C. Colwell, RN,MS,CWOCN
• Lamar Colyer III, LCPC
• Youssef G Comair, M.D.
• Jordi Comas Vila, LCPC
• Anissa Nicole Comas
• Amanda Marie Combes, PHARMD.
• John Richard Combes, MD
• Sarah Combey
• Kelly Combs, PSYD
• Yvonne Combs, LSW

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.