Dmitriy Epshteyn, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160003722 Issued in IL

Practice address

7001 Cullom Ave.
Norridge, IL 60706

Phone

(708) 457-0700

NPI assigned

Jul 16, 2015

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Mr. Dmitriy Epshteyn Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 16, 2015.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1215311535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 W CULLOM AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607067100",
            "telephone_number": "708-457-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 CULLOM AVE.",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "60706",
            "telephone_number": "708-457-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSHTEYN",
        "first_name": "DMITRIY",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160003722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DMITRIY",
            "last_name": "EPSHTEYN",
            "prefix": "MR.",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• All providers in Norridge, IL
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.