Individual provider Active NPI

Marlou Jumamil, P.T.

  • Physical Therapist
  • Arlington Heights, IL
National Provider Identifier
1790023026
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1303400 Issued in TX
Practice address
855 E Golf Rd
Suite 2133
Arlington Heights, IL 60005-5222
Phone
(847) 593-9771
NPI assigned
Jan 22, 2013
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1300016209 IL
Physical Therapist 225100000X 1303400 TX Primary

Addresses

Primary practice location

855 E Golf Rd
Suite 2133
Arlington Heights, IL 60005-5222

Mailing address

8613 N Milwaukee Ave
Apt 1W
Niles, IL 60714-9998

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
1300016209ILMDSpecialist
1303400TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1790023026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8613 N MILWAUKEE AVE",
            "address_2": "APT 1W",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607149998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E GOLF RD",
            "address_2": "SUITE 2133",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055222",
            "telephone_number": "847-593-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUMAMIL",
        "first_name": "MARLOU",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "1300016209",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1303400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.