Active NPI
Marcy Lynn Munger, PT PHYSICAL THERAPIS
- Physical Therapist
- Mokena, IL
National Provider Identifier
1932242799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 19065 Hickory Creek Drive
Suite #110 Kids Can DO Inc
Mokena, IL 60448 - Phone
- (708) 478-5400
- Fax
- (708) 478-5300
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 | IL | Primary |
Addresses
Primary practice location
19065 Hickory Creek Drive
Suite #110 Kids Can DO Inc
Mokena, IL 60448
Mailing address
422 W Melrose St
Apt 1410
Chicago, IL 60657
Phone (989) 400-3533
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 |
|---|---|---|---|
| 070014573 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Can DO, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932242799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 W MELROSE ST",
"address_2": "APT 1410",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60657",
"telephone_number": "989-400-3533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19065 HICKORY CREEK DRIVE",
"address_2": "SUITE #110 KIDS CAN DO INC",
"city": "MOKENA",
"state": "IL",
"postal_code": "60448",
"telephone_number": "708-478-5400",
"fax_number": "708-478-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNGER",
"first_name": "MARCY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "PT PHYSICAL THERAPIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mokena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.