Active NPI
Lijo Joseph, DPT
- Physical Therapist
- Yorkville, IL
National Provider Identifier
1255471603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070015521
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070015521 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kendall Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Chicago Rehabilitation Services Inc | Physical Therapist | Past | 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.
-
- Physical Therapist
- Yorkville, IL
- NPI 1174114029
-
- Physical Therapist
- Chicago, IL
- NPI 1881766921
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.