Individual provider Active NPI

Aaron Hays, CPO

  • Prosthetist
  • Bourbonnais, IL
National Provider Identifier
1508350729
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
211.000202 Issued in IL
Practice address
453 S Main St
Bourbonnais, IL 60914-1918
Phone
(815) 401-7260
Fax
(815) 401-7267
NPI assigned
Jun 20, 2018
Sex
Male
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 213.000210 IL
Prosthetist 224P00000X 211.000202 IL Primary

Addresses

Primary practice location

453 S Main St
Bourbonnais, IL 60914-1918

Mailing address

453 S Main St
Bourbonnais, IL 60914-1918
Phone (815) 401-7260

Other identifiers 1

IdentifierTypeStateIssuer
472042181001MedicaidIL

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
213.000210ILMDOrthotist
211.000202ILMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic O & P, LTD Current Accepting new patients
Kinetic O & P, LTD Orthotist Current Accepting new patients

Locations

453 S Main St
Bourbonnais, IL 60914
Phone (815) 401-7260

Organizations & group practices 2

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1508350729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 S MAIN ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141918",
            "telephone_number": "815-401-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 S MAIN ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141918",
            "telephone_number": "815-401-7260",
            "fax_number": "815-401-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYS",
        "first_name": "AARON",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "IL",
            "license": "213.000210",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "IL",
            "license": "211.000202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472042181001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, 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.