Active NPI
Ana Clara Kenahan
- Physical Therapy Assistant
- Warrenville, IL
National Provider Identifier
1962001602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA00043
- Practice address
- 28100 Torch Pkwy Ste 600
Warrenville, IL 60555-4030 - Phone
- (630) 413-5850
- NPI assigned
- Oct 23, 2020
- 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 Therapy Assistant | 225200000X | PTA00043 | RI | Primary |
Addresses
Primary practice location
28100 Torch Pkwy Ste 600
Warrenville, IL 60555-4030
Mailing address
28100 Torch Pkwy Ste 600
Warrenville, IL 60555-4030
Phone (630) 413-5850
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 |
|---|---|---|---|
| PTA00043 | RI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1962001602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28100 TORCH PKWY STE 600",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605554030",
"telephone_number": "630-413-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28100 TORCH PKWY STE 600",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605554030",
"telephone_number": "630-413-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENAHAN",
"first_name": "ANA",
"middle_name": "CLARA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-23",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "RI",
"license": "PTA00043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.