Active NPI
Maria Dussias, PT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1356369953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070004973
- Practice address
- 1131 S State St
Chicago, IL 60605-2304 - Phone
- (708) 268-6588
- NPI assigned
- Jul 18, 2006
- 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 | 070004973 | IL | Primary |
Addresses
Primary practice location
1131 S State St
Chicago, IL 60605-2304
Mailing address
1131 S State St
Chicago, IL 60605-2304
Phone (708) 268-6588
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070004973 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1356369953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052304",
"telephone_number": "708-268-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052304",
"telephone_number": "708-268-6588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUSSIAS",
"first_name": "MARIA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070004973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.