Active NPI
Jaisine Joseph, PT
- Physical Therapist
- Willow Springs, IL
National Provider Identifier
1275139727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070025357
- Practice address
- 8434 Corcoran Rd
Willow Springs, IL 60480-1666 - Phone
- (708) 204-6706
- NPI assigned
- Dec 9, 2020
- 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 | 070025357 | IL | Primary |
Addresses
Primary practice location
8434 Corcoran Rd
Willow Springs, IL 60480-1666
Mailing address
265 E Gladys Ave
Elmhurst, IL 60126-1948
Phone (630) 272-0371
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 |
|---|---|---|---|
| 070025357 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1275139727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 E GLADYS AVE",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601261948",
"telephone_number": "630-272-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8434 CORCORAN RD",
"city": "WILLOW SPRINGS",
"state": "IL",
"postal_code": "604801666",
"telephone_number": "708-204-6706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "JAISINE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-09",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070025357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willow Springs, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.