Haviva Batsheva Siegel, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1020 S East Ave
Oak Park, IL 60304-2104

Phone

(630) 240-1817

Fax

(888) 977-2018

NPI assigned

May 30, 2012

Sex

Female

Sole proprietor

Yes

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2017.

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504915200000",
    "number": "1144581802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S EAST AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042104",
            "telephone_number": "630-240-1817",
            "fax_number": "888-977-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S EAST AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042104",
            "telephone_number": "630-240-1817",
            "fax_number": "888-977-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "HAVIVA",
        "middle_name": "BATSHEVA",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2017-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2017; 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.