Active NPI
Yazmin Adame, PTA
- Physical Therapy Assistant
- Westchester, IL
National Provider Identifier
1396260774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160007906
- Practice address
- 2106 Westchester Blvd
Westchester, IL 60154-4338 - Phone
- (708) 336-9337
- NPI assigned
- Aug 7, 2017
- Last updated
- Aug 7, 2017
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 160007906 | IL | Primary |
Addresses
Primary practice location
2106 Westchester Blvd
Westchester, IL 60154-4338
Mailing address
2106 Westchester Blvd
Westchester, IL 60154-4338
Phone (773) 818-3911
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 |
|---|---|---|---|
| 160007906 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1396260774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 WESTCHESTER BLVD",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601544338",
"telephone_number": "773-818-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 WESTCHESTER BLVD",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601544338",
"telephone_number": "708-336-9337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAME",
"first_name": "YAZMIN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-07",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160007906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westchester, IL
- Access One Transportation,Corp (Access Transportation)
- Access Physical Therapy II Inc.
- Ace Transit, LLC
- Melissa X Acevedo
- Achieve Home Health Care, Inc.
- Advance Pain & Anesthesia Consultants, PC
- Adventist Midwest Health (Uchicago Medicine Adventhealth Imaging Westchester)
- Afta Effects Salon Inc.
- Anthony Agate, HS
- Ana Cecilia Aguirre, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.