Individual provider Active NPI

Joanna Bakos, PT, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1487082848
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022988 Issued in IL
Practice address
4223 N Lincoln Ave
Chicago, IL 60618-2901
Phone
(773) 661-2990
Fax
(773) 661-2995
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT871502 DC
Physical Therapist 225100000X 070022988 IL Primary

Addresses

Primary practice location

4223 N Lincoln Ave
Chicago, IL 60618-2901

Mailing address

4223 N Lincoln Ave
Chicago, IL 60618-2901
Phone (773) 661-2990

Other practice location 1

1001 G St NW
Washington, DC 20001-4545
Phone (202) 347-7745

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

State licenses

LicenseStateTypeSpecialty
070022988ILMDPhysical Therapist
PT871502DCMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1487082848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182901",
            "telephone_number": "773-661-2990",
            "fax_number": "773-661-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182901",
            "telephone_number": "773-661-2990",
            "fax_number": "773-661-2995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 G St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200014545",
            "country_code": "US",
            "telephone_number": "202-347-7745",
            "fax_number": "202-347-7747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKOS",
        "first_name": "JOANNA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DC",
            "license": "PT871502",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.