Mary Grace Corpin Deinla, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070014879 Issued in IL

Practice address

706 Landwehr Rd
Northbrook, IL 60062-2310

Phone

(224) 567-1649

Fax

(847) 305-5886

NPI assigned

Jul 2, 2018

Last updated

Jul 2, 2018By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Powercare Rehabilitation Corp

  • Physical Therapist
  • Plainfield, IL
  • NPI 1154914638
  Medicare reassignment

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1619463700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 LANDWEHR RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622310",
            "telephone_number": "224-567-1649",
            "fax_number": "847-305-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 LANDWEHR RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622310",
            "telephone_number": "224-567-1649",
            "fax_number": "847-305-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEINLA",
        "first_name": "MARY GRACE",
        "middle_name": "CORPIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Lea Decker
• Deepali Gershan MD
• Alexsis Dees
• Ana Diane Deeter, PA
• Jessica Degregorio
• Steven Baxter Deliduka, M.D.
• Joshua Dellinger
• Barbara Dianne Demetrius-Lallas
• Nicole Demory, LPC
• Alicia Ann Denefe, LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.