Active NPI
David P Bokermann, DPT
- Physical Therapist
- Aurora, IL
National Provider Identifier
1629402706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-020101
- Practice address
- 1137 N Eola Rd Ste 111
Aurora, IL 60502-7097 - Phone
- (630) 236-6698
- Fax
- (630) 236-6856
- NPI assigned
- Aug 26, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-020101 | IL | Primary |
Addresses
Primary practice location
1137 N Eola Rd Ste 111
Aurora, IL 60502-7097
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6250
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070-020101 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1629402706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-6250",
"fax_number": "630-575-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1137 N EOLA RD STE 111",
"city": "AURORA",
"state": "IL",
"postal_code": "605027097",
"telephone_number": "630-236-6698",
"fax_number": "630-236-6856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOKERMANN",
"first_name": "DAVID",
"middle_name": "P",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-020101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.