Angela Luming Pullen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-008754 Issued in IL

Practice address

445 E Comstock Ave
Addison, IL 60101-4835

Phone

(630) 209-9729

Fax

(630) 630-1286

NPI assigned

Aug 25, 2006

Last updated

May 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Luming Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1407963119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E COMSTOCK AVE",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601014835",
            "telephone_number": "630-209-9729",
            "fax_number": "630-630-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E COMSTOCK AVE",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601014835",
            "telephone_number": "630-209-9729",
            "fax_number": "630-630-1286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 S Addison Ave",
            "address_purpose": "LOCATION",
            "city": "Villa Park",
            "state": "IL",
            "postal_code": "601812877",
            "country_code": "US",
            "telephone_number": "630-620-4433",
            "fax_number": "630-620-1148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULLEN",
        "first_name": "ANGELA",
        "middle_name": "LUMING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-008754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "LUMING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Addison, IL
• Providers in Addison, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.