Individual provider Active NPI

Dawn Michele Deblois, PTA

  • Physical Therapy Assistant
  • North Barrington, IL
National Provider Identifier
1780416859
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160.010075 Issued in IL
Practice address
424 N Rand Rd
North Barrington, IL 60010-1496
Phone
(847) 736-6546
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160.010075 IL Primary

Addresses

Primary practice location

424 N Rand Rd
North Barrington, IL 60010-1496

Mailing address

7432 Brookside Dr
Hanover Park, IL 60133-2603
Phone (245) 323-9362

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

LicenseStateTypeSpecialty
160.010075ILMDPhysical Therapy Assistant

Interoperability endpoints

  • Direct secure messaging: childtherapyandrehab.dawndeblois@158752.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1780416859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7432 BROOKSIDE DR",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332603",
            "telephone_number": "245-323-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N RAND RD",
            "city": "NORTH BARRINGTON",
            "state": "IL",
            "postal_code": "600101496",
            "telephone_number": "847-736-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBLOIS",
        "first_name": "DAWN",
        "middle_name": "MICHELE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.010075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.