Active NPI
Irene Okada, PT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1740849009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070019520
- Practice address
- 845 N Michigan Ave
Chicago, IL 60611-2252 - Phone
- (312) 878-8800
- NPI assigned
- Jun 11, 2019
- 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 | 070019520 | IL | Primary |
Addresses
Primary practice location
845 N Michigan Ave
Chicago, IL 60611-2252
Mailing address
733 Barat CT
Lake Forest, IL 60045-3133
Phone (847) 615-2475
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 |
|---|---|---|---|
| 070019520 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1740849009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 BARAT CT",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600453133",
"telephone_number": "847-615-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 N MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112252",
"telephone_number": "312-878-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKADA",
"first_name": "IRENE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070019520",
"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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.