Individual provider Active NPI

Lijo Joseph, DPT

  • Physical Therapist
  • Yorkville, IL
National Provider Identifier
1255471603
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070015521 Issued in IL
Practice address
1591 Sycamore Rd
Yorkville, IL 60560-1952
Phone
(630) 385-2151
Fax
(773) 284-0880
NPI assigned
Feb 7, 2007
Last updated
Jul 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070015521 IL Primary

Addresses

Primary practice location

1591 Sycamore Rd
Yorkville, IL 60560-1952

Mailing address

1591 Sycamore Rd
Yorkville, IL 60560-1952
Phone (630) 385-2151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070328000421 IL Practitioner - Physical Therapist in Private Practice 5890899017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1591 Sycamore Rd
Yorkville, IL 60560-1952
Phone (630) 385-2151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070015521ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kendall Physical Therapy Inc Physical Therapist CurrentSince Sep 28, 2020 Accepting new patients
Chicago Rehabilitation Services Inc Physical Therapist PastSince Oct 1, 2003 Accepting new patients

Locations

1591 Sycamore Rd
Yorkville, IL 60560
Phone (630) 385-2151

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1255471603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 SYCAMORE RD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601952",
            "telephone_number": "630-385-2151",
            "fax_number": "630-708-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 SYCAMORE RD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601952",
            "telephone_number": "630-385-2151",
            "fax_number": "773-284-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "LIJO",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; 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.