Active NPI
Helen Kenmotsu
- Physical Therapist
- Oakbrook Terrace, IL
National Provider Identifier
1295910487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 17W682 Butterfield Rd
Suite 102
Oakbrook Terrace, IL 60181-4029 - Phone
- (630) 909-7378
- Fax
- (630) 909-7371
- NPI assigned
- Jan 7, 2008
- Sex
- Female
- 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 | IL | Primary |
Addresses
Primary practice location
17W682 Butterfield Rd
Suite 102
Oakbrook Terrace, IL 60181-4029
Mailing address
17W682 Butterfield Rd
Suite 102
Oakbrook Terrace, IL 60181-4029
Phone (630) 909-7378
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 |
|---|---|---|---|
| 070012781 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Tech Services Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Des Plaines, IL
- NPI 1669843884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1295910487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17W682 BUTTERFIELD RD",
"address_2": "SUITE 102",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601814029",
"telephone_number": "630-909-7378",
"fax_number": "630-909-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17W682 BUTTERFIELD RD",
"address_2": "SUITE 102",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601814029",
"telephone_number": "630-909-7378",
"fax_number": "630-909-7371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENMOTSU",
"first_name": "HELEN",
"name_prefix": "Prof.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakbrook Terrace, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.