Active NPI
Raymond Nicholas Degli, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1962705657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL0013389
- Practice address
- 211 N Clinton St
Suite 2
Chicago, IL 60661-1282 - Phone
- (630) 876-9186
- Fax
- (630) 876-9187
- NPI assigned
- Dec 17, 2010
- Sex
- Male
- 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 | PTL0013389 | CO | Primary |
Addresses
Primary practice location
211 N Clinton St
Suite 2
Chicago, IL 60661-1282
Mailing address
PO Box 883299
Suite 2
Steamboat Springs, CO 80488-3299
Phone (970) 879-8026
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kowalick LLC | Physical Therapist | Current | Accepting new patients |
Locations
1585 Mid Valley Dr
Ste 3
Steamboat Springs, CO 80487
Phone (970) 879-8026
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.
-
- Physical Therapist
- Steamboat Springs, CO
- NPI 1700653839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473897600000",
"number": "1962705657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 883299",
"address_2": "SUITE 2",
"city": "STEAMBOAT SPRINGS",
"state": "CO",
"postal_code": "804883299",
"telephone_number": "970-879-8026",
"fax_number": "970-879-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N CLINTON ST",
"address_2": "SUITE 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606611282",
"telephone_number": "630-876-9186",
"fax_number": "630-876-9187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGLI",
"first_name": "RAYMOND",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-17",
"last_updated": "2016-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL0013389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.