Christopher Noche De Leon, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160005954 Issued in IL

Practice address

2074 Madison Ave
Gurnee, IL 60031-6301

Phone

(773) 982-1106

NPI assigned

Jul 2, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Ultimate Care Inc.

  • Occupational Therapist
  • Delray Beach, FL
  • NPI 1316382898
  NPD (past)

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1407296643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16089 POPPYSEED CIR UNIT 2008",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846314",
            "telephone_number": "561-496-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 MADISON AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600316301",
            "telephone_number": "773-982-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "CHRISTOPHER",
        "middle_name": "NOCHE",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160005954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B. Shanker, M.D.
• David L. Gates and Associates
• Anita Davidson, PT
• Philip Wesley Davidson, D.C
• Susan Roberta Davis, LCPC, CDS
• Deerpath Physicians Group LTD
• Omaima Degani, M.D.
• Delany Dental Care
• Ieve Villamil Deleon, PT
• Sandra N Denman, PA-C

• All providers in Gurnee, IL
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.