Active NPI
Joshua Dean Koutas, PT, DPT
- Physical Therapist
- Evanston, IL
National Provider Identifier
1851819403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070023257
- Practice address
- 805 Davis Street
Evanston, IL 60201 - Phone
- (847) 864-1535
- NPI assigned
- Sep 5, 2017
- Sex
- Male
- 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 | 070023257 | IL | Primary |
Addresses
Primary practice location
805 Davis Street
Evanston, IL 60201
Mailing address
1135 Milwaukee Ave
Riverwoods, IL 60015-3512
Phone (847) 520-9038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1567 Deerfield Pkwy
Buffalo Grove, IL 60089-2653
Phone (847) 520-9038
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Therapy Resource, LTD | Current | Accepting new patients | |
| Motionfit Il Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
1135 Milwaukee Ave
Riverwoods, IL 60015
Phone (347) 608-2428
Organizations & group practices 3
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 Therapist
- Arlington Heights, IL
- NPI 1174779623
-
- Specialist
- Riverwoods, IL
- NPI 1366729105
-
- Physical Therapist
- Riverwoods, IL
- NPI 1689534034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1851819403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 MILWAUKEE AVE",
"city": "RIVERWOODS",
"state": "IL",
"postal_code": "600153512",
"telephone_number": "847-520-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 DAVIS STREET",
"city": "EVANSTON",
"state": "IL",
"postal_code": "60201",
"telephone_number": "847-864-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUTAS",
"first_name": "JOSHUA",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-05",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070023257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.