Active NPI
Benjamin V Jose, DPT
- Physical Therapist
- Des Plaines, IL
National Provider Identifier
1457866154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070023431
- Practice address
- 1479 Lee St
Des Plaines, IL 60018-1516 - Phone
- (847) 299-7470
- Fax
- (847) 299-7560
- NPI assigned
- Dec 5, 2017
- Last updated
- May 10, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070023431 | IL | Primary |
Addresses
Primary practice location
1479 Lee St
Des Plaines, IL 60018-1516
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1457866154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1479 LEE ST",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600181516",
"telephone_number": "847-299-7470",
"fax_number": "847-299-7560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSE",
"first_name": "BENJAMIN",
"middle_name": "V",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-05",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070023431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.