Individual provider Active NPI

Aldona T Shahin, THERAPY DIR. I

  • Physical Therapist
  • Morton Grove, IL
National Provider Identifier
1326165358
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070006977 Issued in IL
Practice address
8125 River Dr Ste 102
Morton Grove, IL 60053-2642
Phone
(847) 470-1720
Fax
(847) 470-1723
NPI assigned
Mar 23, 2007
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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 070006977 IL Primary

Addresses

Primary practice location

8125 River Dr Ste 102
Morton Grove, IL 60053-2642

Mailing address

8125 River Dr Ste 102
Morton Grove, IL 60053-2642
Phone (847) 470-1720

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070006977ILMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1326165358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 RIVER DR STE 102",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532642",
            "telephone_number": "847-470-1720",
            "fax_number": "847-470-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8125 RIVER DR STE 102",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532642",
            "telephone_number": "847-470-1720",
            "fax_number": "847-470-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHIN",
        "first_name": "ALDONA",
        "middle_name": "T",
        "credential": "THERAPY DIR. I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070006977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.