Active NPI
Geo Athappilly, BLIND REHAB SPECIAL
- Blind Rehabilitation Specialist/Technologist
- Hines, IL
National Provider Identifier
1356467948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blind Rehabilitation Specialist/Technologist
- Practice address
- 5TH St and Roosevelt
BLDG 113
Hines, IL 60141 - Phone
- (708) 202-3556
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Blind Rehabilitation Specialist/Technologist | 2255R0406X | Primary |
Addresses
Primary practice location
5TH St and Roosevelt
BLDG 113
Hines, IL 60141
Mailing address
2021 S Wolf Rd
Apt 208
Hillside, IL 60162-2164
Phone (269) 998-7730
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356467948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 S WOLF RD",
"address_2": "APT 208",
"city": "HILLSIDE",
"state": "IL",
"postal_code": "601622164",
"telephone_number": "269-998-7730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5TH ST AND ROOSEVELT",
"address_2": "BLDG 113",
"city": "HINES",
"state": "IL",
"postal_code": "60141",
"telephone_number": "708-202-3556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATHAPPILLY",
"first_name": "GEO",
"credential": "BLIND REHAB SPECIAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255R0406X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Rehabilitation, Blind",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.