Individual provider Active NPI

Rachel Z Mika, PT

  • Physical Therapist
  • Plainfield, IL
National Provider Identifier
1497850044
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070012466 Issued in IL
Practice address
6619 Mountain Ridge Pass
Plainfield, IL 60586
Phone
(630) 544-9442
Fax
(815) 600-7986
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070012466 IL Primary

Addresses

Primary practice location

6619 Mountain Ridge Pass
Plainfield, IL 60586

Mailing address

6619 Mountain Ridge Pass
Plainfield, IL 60586-2844
Phone (630) 544-9442

Other practice location 1

29D Stonehill Rd
Oswego, IL 60543
Phone (630) 554-6156

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

LicenseStateTypeSpecialty
070012466ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spot 4 Kids, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1497850044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 MOUNTAIN RIDGE PASS",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605862844",
            "telephone_number": "630-544-9442",
            "fax_number": "815-600-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6619 MOUNTAIN RIDGE PASS",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60586",
            "telephone_number": "630-544-9442",
            "fax_number": "815-600-7986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29D Stonehill Rd",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "60543",
            "country_code": "US",
            "telephone_number": "630-554-6156",
            "fax_number": "630-554-6378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKA",
        "first_name": "RACHEL",
        "middle_name": "Z",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.