Kimberly Aubuchon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-014942 Issued in IL

Practice address

20060 Governors Dr
Olympia Fields, IL 60461-1029

Phone

(708) 283-1789

NPI assigned

Jul 22, 2006

Last updated

Feb 18, 2009By 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

Not listed in the public Medicare enrollment file

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.

• Flexeon Rehabilitation - Clinton, LLC

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1871661827

  Physical Therapist

  NPD
• Chicago Sports and Spine, LLC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1316192628
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1902827173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 W ARLINGTON PL",
            "address_2": "APT G-F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20060 GOVERNORS DR",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611029",
            "telephone_number": "708-283-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUBUCHON",
        "first_name": "KIMBERLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-014942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Renee Armando Watson, MD
• Ade Tokunbo Aro, PHARMD
• Robert Aronson, M.D.
• Dexter Edwin Arrington, M.D.
• Andrew Tyler Asencio
• Michelle Nora Augustinas, DO
• Aunt Martha's Health and Wellness
• Aunt Martha's Health and Wellness, Inc. (Aunt Martha's Youth Service Center, Inc.)
• Aunt Marthas Youth Service
• Aunt Marthas Youth Service Center

• Physical Therapist in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.