Kendall Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KENDALL PHYSICAL THERAPY INC

Practice address

1591 Sycamore Rd
Yorkville, IL 60560-1952

Phone

(630) 385-2151

NPI assigned

Feb 2, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Lijo Joseph, DPTNPI 1255471603

Title

Physical Therapist

Phone

(630) 385-2151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lijo Joseph, DPT

  • Physical Therapist
  • Yorkville, IL
  • NPI 1255471603
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622937600000",
    "number": "1174114029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 SYCAMORE RD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601952",
            "telephone_number": "630-385-2151",
            "fax_number": "630-708-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 SYCAMORE RD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601952",
            "telephone_number": "630-385-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "LIJO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "630-385-2151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall County Health Department
• Kendall County Health Department
• Kendall County Health Department
• Kendall County Health Department
• Kendall County Special Education Cooperative
• Joseph Anthony Kernes, DC
• Larry David Ketner, DPM
• Cheryl A Killen, RN
• Alexandra Paige King
• King's Dominion Home Healthcare Services Corporation

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; 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.

Verify at the official NPI Registry.