Kaase Gayl El-Talabani

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160007595 Issued in IL

Practice address

517 E North St
Bradley, IL 60915-1258

Phone

(815) 802-7503

Fax

(815) 802-7514

NPI assigned

Aug 3, 2016

Last updated

Aug 3, 2016By the provider in NPPES

Sex

Male

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

Practice roles

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.

• River Valley Physical Therapy Spine and Joint Center LLC

  • Physical Therapist
  • Bradley, IL
  • NPI 1144401233
  NPD (past)

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1346794674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 E NORTH ST",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609151258",
            "telephone_number": "815-802-7503",
            "fax_number": "815-802-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 E NORTH ST",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609151258",
            "telephone_number": "815-802-7503",
            "fax_number": "815-802-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-TALABANI",
        "first_name": "KAASE",
        "middle_name": "GAYL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160007595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Daniel Derouen, DC
• Holly Koren Dinello, NP-C
• Dr.Joseph Mayotte D.C P.C
• Shannon Ducat
• Paula Renee Dykstra, LCSW
• Amirreza Fallahi, DO
• Parmis Fatih, MD
• Kristin L Fields, PA-C
• Katherine Jane Ford, LCPC
• Mary Ann Salera Garcia, PT

• Physical Therapy Assistant in Bradley, IL
• Providers in Bradley, 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 Aug 3, 2016; 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.