Active NPI
Kevin M. Dunn
- Physical Therapy Assistant
- Elmhurst, IL
National Provider Identifier
1407464472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160.008912
- Practice address
- 188 N, Industrial Dr
Suite 112
Elmhurst, IL 60126 - Phone
- (847) 243-6041
- NPI assigned
- Jul 16, 2020
- 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 Therapy Assistant | 225200000X | 160.008912 | IL | Primary |
Addresses
Primary practice location
188 N, Industrial Dr
Suite 112
Elmhurst, IL 60126
Mailing address
22 Austrian Dr
Romeoville, IL 60446-4071
Phone (815) 919-0273
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 |
|---|---|---|---|
| 160.008912 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1407464472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 AUSTRIAN DR",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "604464071",
"telephone_number": "815-919-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 N, INDUSTRIAL DR",
"address_2": "SUITE 112",
"city": "ELMHURST",
"state": "IL",
"postal_code": "60126",
"telephone_number": "847-243-6041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "KEVIN",
"middle_name": "M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-16",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160.008912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.