Fred Kassal, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.024982 Issued in IL

Practice address

16517 106TH CT
Orland Park, IL 60467-4545

Phone

(708) 712-3870

NPI assigned

Oct 13, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Goodlife Physical TherapyGroup PAC ID 6608924865, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Goodlife Physical Therapy

  • Physical Therapist
  • Orland Park, IL
  • NPI 1053557264
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1487316741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 W 170TH ST",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604877266",
            "telephone_number": "708-712-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16517 106TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674545",
            "telephone_number": "708-712-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAL",
        "first_name": "FRED",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.024982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Karr
• Mary Ann Karstens, PHD
• Svitlana Karveliene
• Michelle Kashani, OTR
• Kasper Healthcare Enterprises, Inc
• Kathleen J Drinan DO LTD
• Kimberly Katner, RBT-18-48929
• Tajinder Kaur, PHARMD
• Fariha Kausar, MD
• Cary Kawakami, O.D.

• Physical Therapist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.