NPIMap

Individual provider Active NPI

Brynn Nahlik, DPT

  • Physical Therapist
  • Lisle, IL
National Provider Identifier
1538473350
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-017920 Issued in IL
Practice address
6200 River Bend Dr
Lisle, IL 60532-4511
Phone
(630) 324-8243
Fax
(630) 324-8270
NPI assigned
Aug 4, 2010
Last updated
Jun 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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 070-017920 IL Primary

Addresses

Primary practice location

6200 River Bend Dr
Lisle, IL 60532-4511

Mailing address

6200 River Bend Dr
Lisle, IL 60532-4511
Phone (630) 324-8243

Other names 1

  • Brynn Rooney Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-017920ILMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1538473350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 RIVER BEND DR",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324511",
            "telephone_number": "630-324-8243",
            "fax_number": "630-324-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 RIVER BEND DR",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324511",
            "telephone_number": "630-324-8243",
            "fax_number": "630-324-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHLIK",
        "first_name": "BRYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-017920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYNN",
            "last_name": "ROONEY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.