Active NPI
Chris Kaminski, PT, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1700213709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070019196
- Practice address
- 2222 W Division St Ste 320
Chicago, IL 60622-3096 - Phone
- (773) 227-3303
- NPI assigned
- Oct 4, 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 | 070019196 | IL | Primary |
Addresses
Primary practice location
2222 W Division St Ste 320
Chicago, IL 60622-3096
Mailing address
2800 N Lake Shore Dr
Unit# 2815
Chicago, IL 60657-6232
Phone (847) 404-4407
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 |
|---|---|---|---|
| 070019196 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1700213709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 N LAKE SHORE DR",
"address_2": "UNIT# 2815",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576232",
"telephone_number": "847-404-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 W DIVISION ST STE 320",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223096",
"telephone_number": "773-227-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKI",
"first_name": "CHRIS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-04",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070019196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.