Individual provider Active NPI

Joseph Richard L'Abbe, P.T.

  • Physical Therapist
  • Mundelein, IL
National Provider Identifier
1679772990
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-007929 Issued in IL
Practice address
511 E Hawley St
Mundelein, IL 60060-2419
Phone
(847) 970-7099
Fax
(847) 970-7719
NPI assigned
Jul 16, 2007
Last updated
Mar 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-007929 IL Primary

Addresses

Primary practice location

511 E Hawley St
Mundelein, IL 60060-2419

Mailing address

511 E Hawley St
Mundelein, IL 60060-2419
Phone (847) 970-7099

Other identifiers 3

IdentifierTypeStateIssuer
IL6697020OtherILMEDICARE
IL6238022OtherILMEDICARE
IL6237022OtherILMEDICARE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Accelerated Rehabilitation Center of Kenosha LTD Physical Therapist CurrentSince Aug 30, 2012 Accepting new patients
Accelerated Rehabilitation Center of Kenosha LTD Physical Therapist PastSince Aug 30, 2012 Accepting new patients

Locations

6502 Joliet Rd
Ste B
Countryside, IL 60525
Phone (708) 352-0547

300 S State St
Marengo, IL 60152
Phone (815) 568-4550

1186 W Maple Ave
Mundelein, IL 60060
Phone (847) 970-7099

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1679772990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E HAWLEY ST",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602419",
            "telephone_number": "847-970-7099",
            "fax_number": "847-970-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E HAWLEY ST",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602419",
            "telephone_number": "847-970-7099",
            "fax_number": "847-970-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "L'ABBE",
        "first_name": "JOSEPH",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-007929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IL6697020",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IL6238022",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IL6237022",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.