Active NPI
Nicole Grace Yule, DPT
- Physical Therapist
- Burr Ridge, IL
National Provider Identifier
1710335237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016282
- Practice address
- 7055 High Grove Blvd
Burr Ridge, IL 60527-7628 - Phone
- (630) 371-1623
- NPI assigned
- May 25, 2016
- Sex
- Female
- 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 | PT016282 | OH | Primary |
Addresses
Primary practice location
7055 High Grove Blvd
Burr Ridge, IL 60527-7628
Mailing address
7055 High Grove Blvd
Burr Ridge, IL 60527-7628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016282 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| Ngy LLC | Physical Therapist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
Locations
1111 E Capitol Dr
Shorewood, WI 53211
Phone (262) 293-3207
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Menomonee Falls, WI
- NPI 1003174087
-
- Physical Therapist
- Kenosha, WI
- NPI 1518638402
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1710335237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7055 HIGH GROVE BLVD",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605277628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7055 HIGH GROVE BLVD",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605277628",
"telephone_number": "630-371-1623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YULE",
"first_name": "NICOLE",
"middle_name": "GRACE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2023-09-12",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT016282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.