Individual provider Active NPI

Irene Nuqui, PT

  • Physical Therapist
  • Niles, IL
National Provider Identifier
1376986018
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.019314 Issued in IL
Practice address
8609 N Milwaukee Ave
Apt 1E
Niles, IL 60714-1964
Phone
(912) 347-6976
NPI assigned
Apr 11, 2013
Last updated
Apr 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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 070.019314 IL Primary

Addresses

Primary practice location

8609 N Milwaukee Ave
Apt 1E
Niles, IL 60714-1964

Mailing address

8609 N Milwaukee Ave
Apt 1E
Niles, IL 60714-1964
Phone (912) 347-6976

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
070.019314ILMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1376986018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 N MILWAUKEE AVE",
            "address_2": "APT 1E",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141964",
            "telephone_number": "912-347-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 N MILWAUKEE AVE",
            "address_2": "APT 1E",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141964",
            "telephone_number": "912-347-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUQUI",
        "first_name": "IRENE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.019314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.