Mark Ian Madrona Cabase, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

070.014988 Issued in IL

Practice address

2203 Pembridge LN
Joliet, IL 60431-7731

Phone

(815) 409-8301

NPI assigned

May 20, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• United Care Rehab, Inc.

  • Physical Therapist
  • Joliet, IL
  • NPI 1730414699
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1508091570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26005 W MILESTONE DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852331",
            "telephone_number": "815-782-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 PEMBRIDGE LN",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604317731",
            "telephone_number": "815-409-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABASE",
        "first_name": "MARK IAN",
        "middle_name": "MADRONA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IL",
            "license": "070.014988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Busse, LCPC
• Corinne Butler, BS
• Jessica Byczynski, M.S., CCC-SLP
• Steven R Bye, PT
• C & R Medical Group, S.C.
• Eboni Caldwell, ED.S
• Kristine M Caldwell, CRNA
• Rebecca Caldwell
• Twyla Call, COTA
• Amy Suzanne Callahan, OTRL

• All providers in Joliet, IL
• Geriatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.