Pamela Jean Simon Laporte, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.016437 Issued in IL

Practice address

14901 S. Founders Crossing
Homer Glen, IL 60491-6712

Phone

(708) 301-3571

Fax

(708) 301-4450

NPI assigned

Sep 12, 2013

Last updated

Sep 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Poremba LTD Dba Rehab Connections PC

  • Physical Therapy Clinic/Center
  • Homer Glen, IL
  • NPI 1215970082
  NPD (past)

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1699100354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19534 SCARTH LN",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481764",
            "telephone_number": "815-263-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 S. FOUNDERS CROSSING",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916712",
            "telephone_number": "708-301-3571",
            "fax_number": "708-301-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON LAPORTE",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.016437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Shea, MA, LPC
• Sheryl Leipold D.D.S. P.C.
• Lily Shinn, MS, MSW, LCSW
• Renee Ann Shutay, M.A., L.C.P.C.
• Krzysztof B Siemionow, M.D.
• Samantha Skinner
• June Smalec, ACNS-BC
• Small Talk Communication LLC
• Christine Smith
• Tracey Kim Snow, L.C.P.C.

• Physical Therapist in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.