Deena A Kimiatek, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040110-1 Issued in NY

Practice address

2403 Harnish Dr
Algonquin, IL 60102-6803

Phone

(847) 854-6482

Fax

(847) 854-6483

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

5 Point Physical Therapy PLLCGroup PAC ID 9537333067, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/Freedom_IBJI
• FHIR API: https://epicproxy.et1195.epichosted.com/fhirproxy/api/FHIR/R4/

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.

• 5 Point Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1275812406

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Center for Orthopedic and Rehabilitation Excellence LLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1477566081
  NPD (past)
• Illinois Bone and Joint Institute

  • Orthopaedic Surgery Physician
  • Morton Grove, IL
  • NPI 1144269051
  NPD (past)
• Occusport Services Inc.

  • Physical Therapist
  • Lockport, IL
  • NPI 1952350886
  NPD (past)
• Edward J. Gorecki, DC, PLLC

  • Chiropractor
  • New York, NY
  • NPI 1871729012
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1750338588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 MILLBURN AVE",
            "address_2": "STE 101",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411845",
            "telephone_number": "212-226-2066",
            "fax_number": "212-500-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 HARNISH DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026803",
            "telephone_number": "847-854-6482",
            "fax_number": "847-854-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMIATEK",
        "first_name": "DEENA",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040110-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL GROUP NUMBER",
            "identifier": "1619908",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL PROVIDER #",
            "identifier": "1623066",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "202542",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "567700",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "200852",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "568080",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "568150",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPT. OF LABOR",
            "identifier": "367885100",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Khan, DMD
• Ruby Khanna, DC
• Vikram J Khanna, MD
• Robert Kielion
• Jennifer Marie Kilanski
• Lori Kirchheimer, LMT
• Amy Noelle Knight, LCPC
• Peter Koch
• Nicholas Daniel Koerner, DPT
• James Kondrat

• Physical Therapist in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.