Individual provider Active NPI

Damon Dion Rhinehart, PTA

  • Mechanotherapist
  • Chicago, IL
National Provider Identifier
1396019360
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
225200000X Issued in IL
Practice address
5959 N Kenmore Ave
Apt 403
Chicago, IL 60660-5019
Phone
(313) 737-8064
NPI assigned
Mar 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 225200000X IL Primary

Addresses

Primary practice location

5959 N Kenmore Ave
Apt 403
Chicago, IL 60660-5019

Mailing address

5959 N Kenmore Ave
Apt 403
Chicago, IL 60660-5019
Phone (313) 737-8064

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

LicenseStateTypeSpecialty
225200000XILMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1396019360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 N KENMORE AVE",
            "address_2": "APT 403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605019",
            "telephone_number": "313-737-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 N KENMORE AVE",
            "address_2": "APT 403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605019",
            "telephone_number": "313-737-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHINEHART",
        "first_name": "DAMON",
        "middle_name": "DION",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "IL",
            "license": "225200000X",
            "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 8, 2012; 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.