Nicholas Katsiris

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070020968 Issued in IL

Practice address

5255 W 95TH St
Oak Lawn, IL 60453-2450

Phone

(708) 424-2977

NPI assigned

Oct 2, 2014

Last updated

Oct 2, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Core Physical Therapy Clinics, LLC

  dba Core Physical Therapy Clinics #2

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1497191092
  NPD (past)

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1760885933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532450",
            "telephone_number": "708-424-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSIRIS",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Karpeck
• Jolina Paige Karpinski
• Andrea Marie Karr, MS,OTR/L
• Edward L Kasper, DDS
• Abhishek Katiyar, M.D.
• Kamakshi Katwala, MD
• Abraham Katz, MD
• Jeremy Richard Katz, MD
• Amandeep Kaur
• Ola Kawadry, D.O.

• Physical Therapist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.