Federico C Dagan Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.008628 Issued in IL

Practice address

2380 S Elmhurst Rd # 100
Mt Prospect, IL 60056-5805

Phone

(847) 786-2014

NPI assigned

Nov 17, 2019

Last updated

Nov 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emery Physical Therapy LLC

  dba One2OnePhysiotherapy

  • Physical Therapist
  • Mount Prospect, IL
  • NPI 1154663813
  NPD (past)

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573948800000",
    "number": "1881239564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CIMARRON DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889107",
            "telephone_number": "630-267-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 S ELMHURST RD # 100",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600565805",
            "telephone_number": "847-786-2014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E 5th Ave Ste 235",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605633194",
            "country_code": "US",
            "telephone_number": "630-219-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAGAN",
        "first_name": "FEDERICO",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-17",
        "last_updated": "2019-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.008628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Alison Cox
• Olivia Crosby
• Catherine Cwieka, PHARMD
• Roma R D'Silva, MD
• Veronica Dabrowski, PT, DPT
• Kayla Shanae Daley
• Ellen Lisa Dalton, RPH
• Michael F Dani, DDS
• Iman Yousef Darwish, MD
• Sheila David

• Physical Therapy Assistant in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2019; 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.