Individual provider Active NPI

Tomasz J Kokocinski, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1386717304
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070006321 Issued in IL
Practice address
5820 W Irving Park Rd
Chicago, IL 60634
Phone
(773) 685-8482
Fax
(773) 685-8479
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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 070006321 IL Primary

Addresses

Primary practice location

5820 W Irving Park Rd
Chicago, IL 60634

Mailing address

5820 W. Irving Park Rd
Chicago, IL 60634
Phone (773) 685-8482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050712000761 IL Practitioner - Physical Therapist in Private Practice 8325949787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Rehabilitation Association, Inc.Group PAC ID 4789672924, 5 clinicians

Practice addresses (Care Compare)

5820 W Irving Park Rd
Chicago, IL 60634-2616
Phone (773) 685-8482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070006321ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Rehabilitation Association, Inc. CurrentSince Jan 2, 2003 Accepting new patients
Vital Rehabilitation Clinics and Services Inc P C Physical Therapist Current Accepting new patients
Vital Rehabilitation & Physical Therapy Inc Physical Therapist Current Accepting new patients
Vital Rehabilitation Past Accepting new patients
Vital Rehabilitation Assoc Inc Past Accepting new patients

Locations

5820 W Irving Park Rd
Chicago, IL 60634
Phone (773) 685-8482

5820 W Irving Park Rd
#C
Chicago, IL 60634
Phone (773) 685-8482

11600 S Kedzie Ave
Merrionette Park, IL 60803
Phone (708) 272-4150

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1386717304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 W. IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60634",
            "telephone_number": "773-685-8482",
            "fax_number": "773-685-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60634",
            "telephone_number": "773-685-8482",
            "fax_number": "773-685-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKOCINSKI",
        "first_name": "TOMASZ",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070006321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.