Active NPI
Joshua Kontur, PT, DPT
- Physical Therapist
- Bloomington, IN
National Provider Identifier
1477904803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016371
- Practice address
- 1312 W Arch Haven Ave
Building 1320 Suite E
Bloomington, IN 47403-2089 - Phone
- (812) 336-8406
- Fax
- (812) 336-8342
- NPI assigned
- Jun 27, 2016
- 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 | PT016371 | OH | Primary |
Addresses
Primary practice location
1312 W Arch Haven Ave
Building 1320 Suite E
Bloomington, IN 47403-2089
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT016371 | Other | OH | OHIO OTPTAT BOARD |
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": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1477904803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 W ARCH HAVEN AVE",
"address_2": "BUILDING 1320 SUITE E",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032089",
"telephone_number": "812-336-8406",
"fax_number": "812-336-8342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONTUR",
"first_name": "JOSHUA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-27",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT016371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO OTPTAT BOARD",
"identifier": "PT016371",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.