Active NPI
Kentoku Kato
- Physical Therapist
- Northbrook, IL
National Provider Identifier
1417628405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070026154
- Practice address
- 1330 Shermer Rd
Northbrook, IL 60062-4539 - Phone
- (847) 480-1280
- Fax
- (847) 480-1279
- NPI assigned
- Sep 21, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28706 | MD | |
| Physical Therapist | 225100000X | 070026154 | IL | Primary |
Addresses
Primary practice location
1330 Shermer Rd
Northbrook, IL 60062-4539
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980
Other practice location 1
17301 Valley Mall Rd
Hagerstown, MD 21740-6966
Phone (240) 840-2002
Other practice location 2
898 Wellington Ave Unit 113
Elk Grove Village, IL 60007-3352
Phone (224) 587-4910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28706 | MD | MD | Social Worker |
Interoperability endpoints
- kentoku.kato.p9@direct.athleticoltd.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1417628405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "630-575-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 SHERMER RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624539",
"telephone_number": "847-480-1280",
"fax_number": "847-480-1279"
}
],
"practiceLocations": [
{
"address_1": "17301 Valley Mall Rd",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217406966",
"country_code": "US",
"telephone_number": "240-840-2002",
"fax_number": "240-850-2003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "898 Wellington Ave Unit 113",
"address_purpose": "LOCATION",
"city": "Elk Grove Village",
"state": "IL",
"postal_code": "600073352",
"country_code": "US",
"telephone_number": "224-587-4910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATO",
"first_name": "KENTOKU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-21",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "28706",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070026154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.