Patcholo Yap Paglinawan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070021988 Issued in IL

Practice address

1310 Mark Franklin Dr
Benton, IL 62812-2049

Phone

(618) 439-3500

NPI assigned

Apr 21, 2017

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Comprehensive Therapeutics LTD

  • Physical Therapist
  • North Riverside, IL
  • NPI 1699094102
  Medicare reassignment NPD
• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246

  IL

  Medicare reassignment NPD
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Lagrange, GA
  • NPI 1881458354
  NPD

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1386179851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 VALLEY FORGE RD",
            "address_2": "APARTMENT A",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646929",
            "telephone_number": "618-316-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MARK FRANKLIN DR",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628122049",
            "telephone_number": "618-439-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGLINAWAN",
        "first_name": "PATCHOLO",
        "middle_name": "YAP",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valentine Ogbodo, MD
• Christopher J Ostromecki, M.D.
• Colin Jacob Overstreet, DPT
• Jason Scott Ozbourn
• Lisa Page
• Robert Parks, M.D.
• Petersen Health Operations, LLC (Benton Rehabilitation & Health Care Center)
• Petersen Health Operations, LLC (Benton Rehabilitation & Health Care Center)
• Janet Porter, R.D.
• Angela L Price

• Physical Therapist in Benton, IL
• Providers in Benton, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.