Individual provider Active NPI

Aaron Fuerst, PT

  • Physical Therapist
  • Kankakee, IL
National Provider Identifier
1174544266
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070012917 Issued in IL
Practice address
141 N Schuyler Ave
Kankakee, IL 60901-1536
Phone
(815) 614-2100
Fax
(815) 614-2101
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070012917 IL Primary

Addresses

Primary practice location

141 N Schuyler Ave
Kankakee, IL 60901-1536

Mailing address

1340 Sommerset Way
Bourbonnais, IL 60914-1536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jojo Saysons Physical Therapy and Rehabilitation LLC Physical Therapist Past Accepting new patients
Orthopedic Associates of Kankakee SC Past Accepting new patients

Organizations & group practices 2

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1174544266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 SOMMERSET WAY",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N SCHUYLER AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609011536",
            "telephone_number": "815-614-2100",
            "fax_number": "815-614-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUERST",
        "first_name": "AARON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.