Active NPI
Candice Laureta Briones, P.T.
- Physical Therapist
- Joliet, IL
National Provider Identifier
1407022353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.013068
- Practice address
- 1201 Wyoming Ave
Joliet, IL 60435-3718 - Phone
- (815) 725-6631
- NPI assigned
- May 1, 2008
- 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 Therapist | 225100000X | 070.013068 | IL | Primary |
Addresses
Primary practice location
1201 Wyoming Ave
Joliet, IL 60435-3718
Mailing address
2023 Engle Rd
Naperville, IL 60564-5386
Phone (630) 660-9266
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 |
|---|---|---|---|
| 070.013068 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651881600000",
"number": "1407022353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 ENGLE RD",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605645386",
"telephone_number": "630-660-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 WYOMING AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604353718",
"telephone_number": "815-725-6631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIONES",
"first_name": "CANDICE",
"middle_name": "LAURETA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2022-05-07",
"certification_date": "2022-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.013068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.