Active NPI
Pedro M Nadela, PT
- Physical Therapist
- Palos Hills, IL
National Provider Identifier
1386992881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-005720
- Practice address
- 10330 S Roberts Rd
Palos Hills, IL 60465-1971 - Phone
- (708) 237-7200
- Fax
- (708) 237-7296
- NPI assigned
- Aug 15, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-005720 | IL | Primary |
Addresses
Primary practice location
10330 S Roberts Rd
Palos Hills, IL 60465-1971
Mailing address
17725 Cloverview Dr
Tinley Park, IL 60477-6598
Phone (708) 429-1624
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070-005720 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1386992881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17725 CLOVERVIEW DR",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604776598",
"telephone_number": "708-429-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10330 S ROBERTS RD",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604651971",
"telephone_number": "708-237-7200",
"fax_number": "708-237-7296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADELA",
"first_name": "PEDRO",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-15",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-005720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palos Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.