Abraham Jose Kattakayam

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070023719 Issued in IL

Practice address

66 W Oak St
Chicago, IL 60610-7325

Phone

(312) 978-1703

NPI assigned

Feb 18, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1235884123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 W GRACE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342549",
            "telephone_number": "312-978-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 W OAK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107325",
            "telephone_number": "312-978-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTAKAYAM",
        "first_name": "ABRAHAM",
        "middle_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nethealth",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "66 W Oak St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606107325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Katsikeas, LCSW
• Alexandria Katsiris, PT, DPT
• Yiannis Limcaoco Katsogridakis, MD
• George Katsoyannis
• Solomon R Katta, M.D.
• Cecilia Kattan
• Konrad Katterle
• Osama Kattih, M.D.
• Valerie M Kattouf, OD
• Katy Groves, PC

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.