Active NPI
Joselito V Sayson, PT
- Physical Therapist
- Bourbonnais, IL
National Provider Identifier
1740224070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 586 William Latham Dr
Suite 3
Bourbonnais, IL 60914-2327 - Phone
- (815) 936-1992
- Fax
- (815) 936-0940
- NPI assigned
- Jun 16, 2006
- 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 | IL | Primary |
Addresses
Primary practice location
586 William Latham Dr
Suite 3
Bourbonnais, IL 60914-2327
Mailing address
840 Revere St
Bourbonnais, IL 60914-4570
Phone (815) 933-4291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101109000063 | IL | Practitioner - Physical Therapist in Private Practice | 0648259598 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-005733 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1740224070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 REVERE ST",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609144570",
"telephone_number": "815-933-4291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "586 WILLIAM LATHAM DR",
"address_2": "SUITE 3",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609142327",
"telephone_number": "815-936-1992",
"fax_number": "815-936-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYSON",
"first_name": "JOSELITO",
"middle_name": "V",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bourbonnais, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.