Active NPI
Soosan Oommen, LPT
- Physical Therapist
- Lombard, IL
National Provider Identifier
1922545854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.012497
- Practice address
- 1331 S Finley Rd Apt 212
Lombard, IL 60148-4381 - Phone
- (630) 277-7771
- NPI assigned
- Jan 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 070.012497 | IL | Primary |
Addresses
Primary practice location
1331 S Finley Rd Apt 212
Lombard, IL 60148-4381
Mailing address
1331 S Finley Rd Apt 212
Lombard, IL 60148-4381
Phone (630) 277-7771
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 |
|---|---|---|---|
| 070.012497 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1922545854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 S FINLEY RD APT 212",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484381",
"telephone_number": "630-277-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 S FINLEY RD APT 212",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484381",
"telephone_number": "630-277-7771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OOMMEN",
"first_name": "SOOSAN",
"credential": "LPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-30",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.012497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.