Active NPI
Kendra Erven, P.T.
- Physical Therapist
- Bloomingdale, IL
National Provider Identifier
1710902713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070008143
- Practice address
- 245 S Gary Ave
Suite 101
Bloomingdale, IL 60108-2228 - Phone
- (630) 315-8710
- Fax
- (630) 315-8725
- NPI assigned
- Jul 12, 2006
- Last updated
- Mar 28, 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 | 070008143 | IL | Primary |
Addresses
Primary practice location
245 S Gary Ave
Suite 101
Bloomingdale, IL 60108-2228
Mailing address
245 S Gary Ave
Suite 101
Bloomingdale, IL 60108-2228
Phone (630) 315-8710
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070008143 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Hospital Association | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1710902713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 S GARY AVE",
"address_2": "SUITE 101",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082228",
"telephone_number": "630-315-8710",
"fax_number": "630-315-8725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 S GARY AVE",
"address_2": "SUITE 101",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082228",
"telephone_number": "630-315-8710",
"fax_number": "630-315-8725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERVEN",
"first_name": "KENDRA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070008143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
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- William L Epperly, MD
- Ericka Axness, LCSW and Associates, LLC
- Luciano Esposito
- Essentially You Counseling and Wellness Services, LLC
- Essentials Dental Practice LLC (Essentials Dental)
- Brian Evans, D.D.S.
- Dana C. Fairbanks, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.