Jennifer Pate, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070020797 Issued in IL

Practice address

117 S 6TH St
West Dundee, IL 60118

Phone

(847) 920-7110

Fax

(847) 920-7110

NPI assigned

Aug 20, 2014

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

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Activefit Physical Therapy and Personal Training

  • Physical Therapist
  • Huntley, IL
  • NPI 1881201895
  Medicare reassignment

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1386043867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12172 S IL ROUTE 47 STE 125",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429619",
            "telephone_number": "847-920-7110",
            "fax_number": "847-920-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S 6TH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "60118",
            "telephone_number": "847-920-7110",
            "fax_number": "847-920-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "JENNIFER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleni Nouhakis, OD
• Fransisco Nunez
• Erika Oceguera
• Catherine Oliver, DSW,LCSW, LPHA, CWEL
• Nicole Marie Padilla, M.D.
• Daxa Patel
• Paul Getz, M.D., S.C.
• Jennifer Lynn Pekovic
• Kathy L Phan, O.D.
• Planet Chiro SC

• Physical Therapist in West Dundee, IL
• Providers in West Dundee, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.