Individual provider Active NPI

Bernadette A Kamin, MSPT

  • Physical Therapy Clinic/Center
  • Park Ridge, IL
National Provider Identifier
1144350166
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Practice address
770 Busse Hwy
Suite C
Park Ridge, IL 60068-2441
Phone
(847) 384-6804
Fax
(847) 384-6806
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X IL Primary

Addresses

Primary practice location

770 Busse Hwy
Suite C
Park Ridge, IL 60068-2441

Mailing address

770 Busse Hwy
Suite C
Park Ridge, IL 60068-2441
Phone (847) 384-6804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110913000624 IL Practitioner - Physical Therapist in Private Practice 9436102225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kamin Physical Therapy, Inc.Group PAC ID 1355393141, 7 clinicians

Practice addresses (Care Compare)

444 N Northwest Hwy
Suite 145
Park Ridge, IL 60068-3275
Phone (847) 384-6804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070008187ILMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Kamin Physical Therapy, Inc. Physical Therapy CurrentSince Feb 28, 2000 Accepting new patients

Locations

480 Elm Pl
Ste 103
Highland Park, IL 60035
Phone (847) 384-6804

444 N Northwest Hwy
Ste 145
Park Ridge, IL 60068
Phone (847) 384-6804

770 Busse Hwy
Ste C
Park Ridge, IL 60068
Phone (847) 384-6804

828 Busse Hwy
Park Ridge, IL 60068
Phone (847) 384-6804

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144350166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 BUSSE HWY",
            "address_2": "SUITE C",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682441",
            "telephone_number": "847-384-6804",
            "fax_number": "847-384-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 BUSSE HWY",
            "address_2": "SUITE C",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682441",
            "telephone_number": "847-384-6804",
            "fax_number": "847-384-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMIN",
        "first_name": "BERNADETTE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.