Individual provider Active NPI

Tabia Earl, PT

  • Physical Therapist
  • Naperville, IL
National Provider Identifier
1427089739
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10 W Martin Ave Ste 226
Naperville, IL 60540-6590
Phone
(630) 848-1744
Fax
(630) 848-1745
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

10 W Martin Ave Ste 226
Naperville, IL 60540-6590

Mailing address

10 W Martin Ave Ste 226
Naperville, IL 60540-6590
Phone (630) 848-1744

Other identifiers 1

IdentifierTypeStateIssuer
2232697OtherILBCBS

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Rehabilitation, Inc. Physical Therapist CurrentSince Jan 10, 2005 Accepting new patients
Thomas a Runne DPM LTD Past Accepting new patients

Locations

1955 W Downer Pl
Aurora, IL 60506

1617 Ogden Ave
Lisle, IL 60532
Phone (630) 968-0085

10 Martin Ave
Ste 226
Naperville, IL 60540
Phone (630) 649-0473

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1427089739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MARTIN AVE STE 226",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406590",
            "telephone_number": "630-848-1744",
            "fax_number": "630-848-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W MARTIN AVE STE 226",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406590",
            "telephone_number": "630-848-1744",
            "fax_number": "630-848-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARL",
        "first_name": "TABIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2232697",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.