Jonathan Casabal, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160002269 Issued in IL

Practice address

10300 Southwest Hwy
Chicago Ridge, IL 60415-1426

Phone

(708) 425-1100

NPI assigned

Jan 21, 2016

Last updated

Jan 21, 2016By 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

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1912364928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SOUTHWEST HIGHWAY",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "60415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SOUTHWEST HWY",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151426",
            "telephone_number": "708-425-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASABAL",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160002269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aidan Martin Brodie, COTA
• Kristen Bugajski
• Violet Hunter Cabot, M.S. CCC-SLP
• Cagles Dialysis LLC (Chicago Ridge Dialysis)
• Cardio-Medicine SC
• Kaely Rose Cassidy, M.S., SLP/L
• Celeste Marie Cassin, LPN
• Bassem Chaar, M.D.
• Abdullah B Chahin, MD
• Chicago Ridge Immediate Care Inc

• Physical Therapy Assistant in Chicago Ridge, IL
• Providers in Chicago Ridge, 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 Jan 21, 2016; 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.