Individual provider Active NPI

Doris Pokorny

  • Physical Therapist
  • Elmhurst, IL
National Provider Identifier
1952729550
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.010915 Issued in IL
Practice address
420 W Butterfield Rd
Elmhurst, IL 60126-4980
Phone
(630) 832-2300
NPI assigned
Apr 1, 2014
Last updated
Apr 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.010915 IL Primary

Addresses

Primary practice location

420 W Butterfield Rd
Elmhurst, IL 60126-4980

Mailing address

402 Newberry Dr
Elk Grove Village, IL 60007-2778
Phone (847) 301-2959

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

LicenseStateTypeSpecialty
070.010915ILMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1952729550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 NEWBERRY DR",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600072778",
            "telephone_number": "847-301-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W BUTTERFIELD RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264980",
            "telephone_number": "630-832-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKORNY",
        "first_name": "DORIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.010915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.