Active NPI
Yogesh Jain
- Orthopedic Physical Therapist
- Oak Lawn, IL
National Provider Identifier
1962895060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070.021266
- Practice address
- 4907 W 95TH St
Oak Lawn, IL 60453-2503 - Phone
- (708) 422-3300
- NPI assigned
- Mar 12, 2015
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 070.021266 | IL | Primary |
Addresses
Primary practice location
4907 W 95TH St
Oak Lawn, IL 60453-2503
Mailing address
2901 S King Dr Apt 1002
Chicago, IL 60616-3393
Phone (412) 273-8001
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 |
|---|---|---|---|
| 26897 | MD | MD | Pharmacist |
| 070.021266 | IL | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1962895060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 S KING DR APT 1002",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163393",
"telephone_number": "412-273-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4907 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532503",
"telephone_number": "708-422-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "YOGESH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-12",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070.021266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.