Active NPI
Quennie Hannah Andrada, PT
- Physical Therapist
- Joliet, IL
National Provider Identifier
1447540026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.016041
- Practice address
- 3320 Executive Dr
Joliet, IL 60431-8433 - Phone
- (815) 730-1370
- Fax
- (815) 730-1517
- NPI assigned
- Apr 15, 2011
- Last updated
- Apr 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 070.016041 | IL | Primary |
Addresses
Primary practice location
3320 Executive Dr
Joliet, IL 60431-8433
Mailing address
102 Highpoint Dr
Apt 105
Romeoville, IL 60446-3897
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 |
|---|---|---|---|
| 070.016041 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1447540026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 HIGHPOINT DR",
"address_2": "APT 105",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "604463897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 EXECUTIVE DR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604318433",
"telephone_number": "815-730-1370",
"fax_number": "815-730-1517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADA",
"first_name": "QUENNIE HANNAH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.016041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
- Jessica Lynne Anderson-Gonzalez, LCSW
- Grace Caroline Anderson, PT, DPT
- Julie A Anderson
- Kelsey Malia Anderson, LCSW
- Andersontiernan, Inc (Advanced Foot & Ankle Centers of Illinois)
- Nancy A Andrade, MS CCC-SLP
- Andrew a Roechner Jr DDS PC
- Andrew Wahl and Ada Paolucci
- Janine Elizabeth Andriusis, D.O.
- Gregory J Andros, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.