Individual provider Active NPI

David Kempfert, PT, OT

  • Physical Therapist
  • Park Ridge, IL
National Provider Identifier
1649426297
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-016630 Issued in IL
Practice address
800 Devon Ave
Park Ridge, IL 60068-4760
Phone
(847) 292-4710
Fax
(847) 292-4903
NPI assigned
Aug 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-016630 IL Primary
Occupational Therapist 225X00000X 056-008418 IL

Addresses

Primary practice location

800 Devon Ave
Park Ridge, IL 60068-4760

Mailing address

1479 Lee St
Des Plaines, IL 60018-1516
Phone (847) 299-7470

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
070-016630ILMDPhysical Therapist
056-008418ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1649426297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181516",
            "telephone_number": "847-299-7470",
            "fax_number": "847-299-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 DEVON AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684760",
            "telephone_number": "847-292-4710",
            "fax_number": "847-292-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPFERT",
        "first_name": "DAVID",
        "credential": "PT, OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-016630",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-008418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.