Johnny Hulbert

Primary specialty

KinesiotherapistTaxonomy code 226300000X

License

2062 Issued in MS

Practice address

5000 S 5TH Ave
Hines, IL 60141-3030

Phone

(708) 202-8387

NPI assigned

Mar 16, 2020

Last updated

Mar 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1619503240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDWARD HINES JR VA HOSPITAL",
            "address_2": "5000 S 5TH AVENUE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-202-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULBERT",
        "first_name": "JOHNNY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "MS",
            "license": "2062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA",
            "identifier": "0000000",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "soap",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5000 S 5th Ave",
            "city": "Hines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601413030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Annming Andy Hsieh, M.D.
• Lena Huang, PHARM.D.
• John Christopher Hubacek, RN
• Naomi Ray Hubbert, RN
• Karla G Hudson, MD
• Hav Hung, RN
• Barbara Jean Hunt, CVRT
• Islam Khaled Hussein, MD
• Scott Neil Huston, RN
• Sicy Idiyalil

• Kinesiotherapist in Hines, IL
• Providers in Hines, IL by specialty
• Kinesiotherapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.