Individual provider Active NPI

Jos G Dorrestein, MHS, PT

  • Orthopedic Physical Therapist
  • Hinsdale, IL
National Provider Identifier
1215105846
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070-0003923 Issued in IL
Practice address
119 E Ogden Ave Ste 110
Hinsdale, IL 60521-8654
Phone
(630) 325-2664
Fax
(866) 245-8064
NPI assigned
Feb 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 070-0003923 IL Primary

Addresses

Primary practice location

119 E Ogden Ave Ste 110
Hinsdale, IL 60521-8654

Mailing address

14111 S Naperville Rd
Plainfield, IL 60544-3329
Phone (815) 436-4828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806000033 IL Practitioner - Physical Therapist in Private Practice 9032181524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brady, P.C.Group PAC ID 2163508227, 14 clinicians

Practice addresses (Care Compare)

4714 Caton Farm Rd
Plainfield, IL 60586-8350
Phone (815) 676-3950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-0003923ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brady, P.C. Orthopedic CurrentSince Aug 1, 2022 Accepting new patients
Revolution PTWL LLC CurrentSince Aug 16, 2019 Accepting new patients
Professional Therapy Consultants, Inc. Past Accepting new patients
Physical Therapy and Rehab Specialists Orthopedic PastSince Nov 16, 2009 Accepting new patients
Fastrac Medical, P.C. Past Accepting new patients

Locations

2340 S Eola Rd
Ste 104
Aurora, IL 60503
Phone (630) 978-9200

1337 Lily Cache Ln
Bolingbrook, IL 60490
Phone (630) 226-5110

845 N Michigan Ave
Ste 973W
Chicago, IL 60611
Phone (312) 651-6255

4714 Caton Farm Rd
Plainfield, IL 60586
Phone (815) 609-4988

12640 S Route 59
Unit 110
Plainfield, IL 60585
Phone (815) 676-3905

Organizations & group practices 5

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": "1203206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1215105846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14111 S NAPERVILLE RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605443329",
            "telephone_number": "815-436-4828",
            "fax_number": "815-254-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E OGDEN AVE STE 110",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218654",
            "telephone_number": "630-325-2664",
            "fax_number": "866-245-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORRESTEIN",
        "first_name": "JOS",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "MHS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-17",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070-0003923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.