Eryn Kubinski, PT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

070.018912 Issued in IL

Practice address

115 Republic Ave
Joliet, IL 60435-6570

Phone

(815) 207-7463

NPI assigned

Apr 13, 2007

Last updated

Apr 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eryn Hanna Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Barman & Sargent Inc

  dba Diablo West Sports Medicine

  • Sports Physical Therapist
  • Menlo Park, CA
  • NPI 1225156524
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1386868701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 REPUBLIC AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356570",
            "telephone_number": "815-207-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 REPUBLIC AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356570",
            "telephone_number": "815-207-7463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3351 El Camino Real",
            "address_2": "SUITE 180",
            "address_purpose": "LOCATION",
            "city": "Atherton",
            "state": "CA",
            "postal_code": "940273811",
            "country_code": "US",
            "telephone_number": "650-365-8350",
            "fax_number": "650-365-8351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBINSKI",
        "first_name": "ERYN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "IL",
            "license": "070.018912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "070.018912",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERYN",
            "last_name": "HANNA",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas K Kron, MD
• Marta Krupa, LAC
• James Stanley Kubalewski, LCSW
• Candice Marie Kubeck, ATC
• Dana Kubinski, PT, DPT
• Colleen Kucera, LCSW
• Debbie Kuhnhofer
• Elizabeth Kukoyi, APRN, FNP-C, FNP-BC
• Rebecca Chin Kuo, M. D.
• Patricia Kupres, PTA

• Sports Physical Therapist in Joliet, IL
• Providers in Joliet, IL by specialty
• Sports Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.