Active NPI
Russel Raymund Yap Cabrera, PHYSICAL THERAPIST
- Physical Therapist
- Skokie, IL
National Provider Identifier
1487228789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070023408
- Practice address
- 4632 Church St Ste 101
Skokie, IL 60076-1545 - Phone
- (847) 768-1050
- Fax
- (847) 768-1064
- NPI assigned
- May 20, 2021
- Last updated
- May 20, 2021
- Sex
- Male
- 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 | 070023408 | IL | Primary |
Addresses
Primary practice location
4632 Church St Ste 101
Skokie, IL 60076-1545
Mailing address
6400 N Cicero Ave Apt 417
Lincolnwood, IL 60712-3448
Phone (312) 813-1816
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 |
|---|---|---|---|
| 070023408 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Admire Home Health Care Agency, Inc. | Current | Accepting new patients |
Locations
4632 Church St
Ste 101
Skokie, IL 60076
Phone (847) 768-1050
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Skokie, IL
- NPI 1518972256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1487228789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 N CICERO AVE APT 417",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607123448",
"telephone_number": "312-813-1816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4632 CHURCH ST STE 101",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761545",
"telephone_number": "847-768-1050",
"fax_number": "847-768-1064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "RUSSEL RAYMUND",
"middle_name": "YAP",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-20",
"last_updated": "2021-05-20",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070023408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.