Active NPI
Kimberly Jaeger, PT, ATC
- Physical Therapist
- Orland Park, IL
National Provider Identifier
1821443904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004372
- Practice address
- 9964 W 144TH St
Orland Park, IL 60462-2458 - Phone
- (708) 460-8027
- Fax
- (708) 460-8076
- NPI assigned
- Apr 26, 2016
- 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 | 004372 | IA | Primary |
Addresses
Primary practice location
9964 W 144TH St
Orland Park, IL 60462-2458
Mailing address
9964 W 144TH St
Orland Park, IL 60462-2458
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 |
|---|---|---|---|
| 004372 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Industrial Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Orland Park, IL
- NPI 1114067030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1821443904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9964 W 144TH ST",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9964 W 144TH ST",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622458",
"telephone_number": "708-460-8027",
"fax_number": "708-460-8076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAEGER",
"first_name": "KIMBERLY",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-26",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.