Jaime Neidenbach

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070022473 Issued in IL

Practice address

41 Waukegan Rd
Glenview, IL 60025-5154

Phone

(847) 707-6744

NPI assigned

Aug 19, 2016

Last updated

Jun 18, 2021By the provider in NPPES

Sex

Female

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

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path

  dba Axes Physical Therapy

  • Physical Therapist
  • Clinton, IL
  • NPI 1376917187
  Medicare reassignment NPD
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1215637699
  NPD
• Little Steps Pediatric Physical Therapy, PC

  • Clinic/Center
  • Glenview, IL
  • NPI 1720533367
  NPD (past)

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1891240875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 MAPLE AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323280",
            "telephone_number": "914-265-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600255154",
            "telephone_number": "847-707-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDENBACH",
        "first_name": "JAIME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jory A. Natkin, D.O.
• Natural Balance Orthotics
• Jose Nazari, MD
• Dean Nazario
• Christine Nehring
• Robin Dale Neidich, MA CCC SLP
• Rene M Nekic, LCSW
• Patricia A Nelson, COTA
• Suzanne P Nelson, MD
• Ali Nematollahi, D.D.S.

• Physical Therapist in Glenview, IL
• Providers in Glenview, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.