Active NPI
Magnolia M. Barbin, LPT
- Physical Therapist
- Wheaton, IL
National Provider Identifier
1417046509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 200 E Willow Ave
Wheaton, IL 60187-5463 - Phone
- (630) 462-1470
- Fax
- (630) 462-9223
- NPI assigned
- Oct 12, 2006
- Last updated
- Jul 8, 2007
- 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 | IL | Primary |
Addresses
Primary practice location
200 E Willow Ave
Wheaton, IL 60187-5463
Mailing address
100 E Irving Park Rd
Ste. #107
Roselle, IL 60172-2048
Phone (630) 439-0009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02232425 | Other | IL | BC/BS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-008173 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hispanic Regional Clinics SC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1184653040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417046509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E IRVING PARK RD",
"address_2": "STE. #107",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601722048",
"telephone_number": "630-439-0009",
"fax_number": "630-439-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E WILLOW AVE",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875463",
"telephone_number": "630-462-1470",
"fax_number": "630-462-9223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBIN",
"first_name": "MAGNOLIA",
"middle_name": "M.",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "02232425",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.