Diane Brikha

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160-009089 Issued in IL

Practice address

521 Green Bay Rd
Wilmette, IL 60091-2726

Phone

(847) 724-4864

Fax

(847) 853-0179

NPI assigned

Sep 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1265101810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAND RD STE 300",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "847-324-3976",
            "fax_number": "847-929-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 GREEN BAY RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912726",
            "telephone_number": "847-724-4864",
            "fax_number": "847-853-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIKHA",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160-009089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Gabrielle Bolotin, LCSW
• Scott M Bolton, M.D.
• Rachel Amanda Borowiec, MA, CCC-SLP
• Bri Ali LLC
• Terrie Bridgman
• Jocelyn Brockland, SLP
• Debra Anne Brodd, D.C,
• Kelly Marie Brody, MA, CCC-SLP
• Brookside Associates, LTD.
• Quinn Brower

• Physical Therapy Assistant in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.