Individual provider Active NPI

Meena Renganathan, P.T

  • Neurology Physical Therapist
  • Oak Forest, IL
National Provider Identifier
1669711776
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
070.007511 Issued in IL
Practice address
15900 South Cicero Ave
Oak Forest Hospital of Cook County
Oak Forest, IL 60452-4006
Phone
(708) 633-2100
Fax
(708) 633-2129
NPI assigned
Feb 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 070.007511 IL Primary

Addresses

Primary practice location

15900 South Cicero Ave
Oak Forest Hospital of Cook County
Oak Forest, IL 60452-4006

Mailing address

15900 South Cicero Ave
Oak Forest Hospital of Cook County
Oak Forest, IL 60452-4006
Phone (708) 633-2100

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070.007511ILMDNeurology Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1669711776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 SOUTH CICERO AVE",
            "address_2": "OAK FOREST HOSPITAL OF COOK COUNTY",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524006",
            "telephone_number": "708-633-2100",
            "fax_number": "708-633-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 SOUTH CICERO AVE",
            "address_2": "OAK FOREST HOSPITAL OF COOK COUNTY",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524006",
            "telephone_number": "708-633-2100",
            "fax_number": "708-633-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENGANATHAN",
        "first_name": "MEENA",
        "name_prefix": "Ms.",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "IL",
            "license": "070.007511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.