Emily Jo Madeja

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029148 Issued in NY

Practice address

5150 Capitol Dr
Wheeling, IL 60090-7900

Phone

(847) 215-9977

Fax

(847) 215-9376

NPI assigned

Mar 15, 2007

Sex

Female

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

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376677831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 N CAMPBELL AVE",
            "address_2": "APT. 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473153",
            "telephone_number": "716-983-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CAPITOL DR",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600907900",
            "telephone_number": "847-215-9977",
            "fax_number": "847-215-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEJA",
        "first_name": "EMILY",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.

Verify at the official NPI Registry.