David J Kooyenga, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070012463 Issued in IL

Practice address

25622 S Governors Hwy
Monee, IL 60449-8987

Phone

(708) 235-0144

Fax

(708) 235-0145

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• New Life Physical Therapy and Rehabilitation P.C.

  • Physical Therapist
  • Monee, IL
  • NPI 1730109596
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1497775258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25622 S GOVERNORS HWY",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604498987",
            "telephone_number": "708-460-9836",
            "fax_number": "708-460-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25622 S GOVERNORS HWY",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604498987",
            "telephone_number": "708-235-0144",
            "fax_number": "708-235-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOYENGA",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Healy, NP-C
• Iroquois Mental Health Center
• Iroquois Mental Health Center
• Amber Jordan, BSN, RN
• Danielle Lynn Kelly, OTR/L
• Danielle Kowach, LCSW
• Mark Anthony Lago, PT
• Lending Hands Therapy Group
• Mark Anthony Macak, DMD
• Joel Madrigal

• Physical Therapist in Monee, IL
• Providers in Monee, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.