Individual provider Active NPI

Daniel Halkin, P.T.

  • Physical Therapist
  • Oak Forest, IL
National Provider Identifier
1174863831
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.010586 Issued in IL
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

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
070.010586ILMDNeurology Physical Therapist

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.