Active NPI
Daniel Halkin, P.T.
- Physical Therapist
- Oak Forest, IL
National Provider Identifier
1174863831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.010586
- Practice address
- 15900 S. Cicero Ave. Oak Forest Health Center
Outpatient Physical Therapy
Oak Forest, IL 60452-4006 - Phone
- (708) 633-2100
- NPI assigned
- Feb 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.010586 | IL | Primary |
| Geriatric Physical Therapist | 2251G0304X | 070.010586 | IL | |
| Neurology Physical Therapist | 2251N0400X | 070.010586 | IL | |
| Orthopedic Physical Therapist | 2251X0800X | 070.010586 | IL |
Addresses
Primary practice location
15900 S. Cicero Ave. Oak Forest Health Center
Outpatient Physical Therapy
Oak Forest, IL 60452-4006
Mailing address
15900 S. Cicero Ave. Oak Forest Health Center
Outpatient Physical Therapy
Oak Forest, IL 60452-4006
Phone (708) 633-2100
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.010586 | IL | MD | Neurology Physical Therapist |
Interoperability endpoints
- dhalkin@direct.ccprovider.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361145600000",
"number": "1174863831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15900 S. CICERO AVE. OAK FOREST HEALTH CENTER",
"address_2": "OUTPATIENT PHYSICAL THERAPY",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604524006",
"telephone_number": "708-633-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15900 S. CICERO AVE. OAK FOREST HEALTH CENTER",
"address_2": "OUTPATIENT PHYSICAL THERAPY",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604524006",
"telephone_number": "708-633-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALKIN",
"first_name": "DANIEL",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-18",
"last_updated": "2013-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.010586",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "IL",
"license": "070.010586",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "IL",
"license": "070.010586",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070.010586",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.