Individual provider Active NPI

Michael Entes, PT

  • Physical Therapist
  • Niles, IL
National Provider Identifier
1861871915
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018899 Issued in IL
Practice address
8255 W Oak Ave
Apt 5
Niles, IL 60714-1629
Phone
(773) 756-6002
NPI assigned
May 21, 2015
Last updated
May 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070018899 IL Primary

Addresses

Primary practice location

8255 W Oak Ave
Apt 5
Niles, IL 60714-1629

Mailing address

8255 W Oak Ave
Apt 5
Niles, IL 60714-1629
Phone (773) 756-6002

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

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1861871915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8255 W OAK AVE",
            "address_2": "APT 5",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141629",
            "telephone_number": "773-756-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8255 W OAK AVE",
            "address_2": "APT 5",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141629",
            "telephone_number": "773-756-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTES",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.