Active NPI
Keitel Ubayubay
- Physical Therapist
- South Barrington, IL
National Provider Identifier
1215635172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 050082-01
- Practice address
- 3 Executive CT Ste 4
South Barrington, IL 60010-9537 - Phone
- (847) 387-4086
- NPI assigned
- Feb 21, 2023
- Last updated
- Mar 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 050082-01 | NY | Primary |
Addresses
Primary practice location
3 Executive CT Ste 4
South Barrington, IL 60010-9537
Mailing address
113 Stirling LN
Schaumburg, IL 60194-4827
Phone (331) 233-8777
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050082-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brady Steps PLLC | Current | Accepting new patients | |
| In2Great | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- South Elgin, IL
- NPI 1124835491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1215635172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 STIRLING LN",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601944827",
"telephone_number": "331-233-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 EXECUTIVE CT STE 4",
"city": "SOUTH BARRINGTON",
"state": "IL",
"postal_code": "600109537",
"telephone_number": "847-387-4086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UBAYUBAY",
"first_name": "KEITEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-21",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "050082-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Barrington, IL
- The Dental Store, LTD. (Barrington Family Smiles, LTD)
- Paul Vincent Ilagan Tolentino
- Edralyn Torres
- Elizabeth Ann Tucker, D.D.S.
- U.S. Surgical Associates, Inc.
- Zara Vimawala, DMD
- Vitality Home Therapies, Inc. (Vitality Dialysis)
- Paige Wells, D.M.D.
- Matthew Mark Witkowski, DMD
- Woodfield Ortho Services L.L.C. (Woodfield Orthotics and Prosthetics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.