Individual provider Active NPI

Kathleen A Brightmore, PT

  • Physical Therapist
  • Joliet, IL
National Provider Identifier
1962621037
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070005411 Issued in IL
Practice address
1240 Essington Rd
Suite 100
Joliet, IL 60435-8408
Phone
(815) 744-7108
Fax
(815) 773-7513
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 070005411 IL Primary

Addresses

Primary practice location

1240 Essington Rd
Suite 100
Joliet, IL 60435-8408

Mailing address

1240 Essington Rd
Joliet, IL 60435-8408
Phone (815) 744-7108

Other names 1

  • Mrs. Kathleen A Brightmore Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1962621037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358408",
            "telephone_number": "815-744-7108",
            "fax_number": "815-773-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 ESSINGTON RD",
            "address_2": "SUITE 100",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358408",
            "telephone_number": "815-744-7108",
            "fax_number": "815-773-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHTMORE",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070005411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BRIGHTMORE",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.