Active NPI
Kimberly Hines, PT
- Physical Therapist
- Joliet, IL
National Provider Identifier
1871618611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070012985
- Practice address
- 421 Doris Ave
Joliet, IL 60433-2569 - Phone
- (815) 740-8986
- Fax
- (815) 774-9152
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 8, 2007
- 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 | 070012985 | IL | Primary |
Addresses
Primary practice location
421 Doris Ave
Joliet, IL 60433-2569
Mailing address
736 Maplewood Dr
Minooka, IL 60447-1234
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070012985 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871618611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 MAPLEWOOD DR",
"city": "MINOOKA",
"state": "IL",
"postal_code": "604471234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 DORIS AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604332569",
"telephone_number": "815-740-8986",
"fax_number": "815-774-9152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "KIMBERLY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070012985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.