Active NPI
Babitha Kuriakose
- Physical Therapist
- Bloomingdale, IL
National Provider Identifier
1932653409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070021432
- Practice address
- 290 Springfield Dr Ste 255
Bloomingdale, IL 60108-2293 - Phone
- (630) 924-1111
- NPI assigned
- Aug 12, 2016
- 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 | 070021432 | IL | Primary |
Addresses
Primary practice location
290 Springfield Dr Ste 255
Bloomingdale, IL 60108-2293
Mailing address
9362 Hamlin Ave
Des Plaines, IL 60016-4240
Phone (630) 605-0338
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070021432 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1932653409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9362 HAMLIN AVE",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164240",
"telephone_number": "630-605-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 SPRINGFIELD DR STE 255",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082293",
"telephone_number": "630-924-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURIAKOSE",
"first_name": "BABITHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-12",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070021432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.