Individual provider Active NPI

Nikki Palcan, PT, DPT

  • Pediatric Physical Therapist
  • Woodridge, IL
National Provider Identifier
1184284101
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
070.024323 Issued in IL
Practice address
3351 Hobson Rd Ste B
Woodridge, IL 60517-1689
Phone
(630) 541-3652
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 070.024323 IL Primary

Addresses

Primary practice location

3351 Hobson Rd Ste B
Woodridge, IL 60517-1689

Mailing address

1300 N Oakmont Rd
Hoffman Estates, IL 60169-1232
Phone (815) 978-5291

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
070.024323ILMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Treehouse Pediatric Therapy P.C. Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1184284101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N OAKMONT RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691232",
            "telephone_number": "815-978-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 HOBSON RD STE B",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171689",
            "telephone_number": "630-541-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALCAN",
        "first_name": "NIKKI",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070.024323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.