Active NPI
Jos G Dorrestein, MHS, PT
- Orthopedic Physical Therapist
- Hinsdale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070-0003923
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070-0003923 | IL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brady, P.C. | Orthopedic | Current | Accepting new patients |
| Revolution PTWL LLC | Current | Accepting new patients | |
| Professional Therapy Consultants, Inc. | Past | Accepting new patients | |
| Physical Therapy and Rehab Specialists | Orthopedic | Past | 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.
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- NPI 1164766606
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- Emergency Medicine Physician
- Joliet, IL
- NPI 1659517597
-
- Physical Therapy Clinic/Center
- Naperville, IL
- NPI 1134397763
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.