Active NPI
Av Performance Therapy PLLC
- Orthopedic Physical Therapist
- Glenview, IL
National Provider Identifier
1003440025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- AV PERFORMANCE THERAPY PLLC
- Practice address
- 1800 Johns Dr
Glenview, IL 60025-1657 - Phone
- (224) 334-3075
- NPI assigned
- Feb 28, 2020
- Last updated
- Feb 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Antigone Sophia Vesci, PT, DPT, ATC
- Title
- Owner
- Phone
- (947) 989-7207
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary | ||
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
1800 Johns Dr
Glenview, IL 60025-1657
Mailing address
924 Burnham CT
Glenview, IL 60025-4140
Phone (847) 989-7207
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582848000000",
"number": "1003440025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 BURNHAM CT",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600254140",
"telephone_number": "847-989-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 JOHNS DR",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600251657",
"telephone_number": "224-334-3075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AV PERFORMANCE THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-28",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A",
"authorized_official_last_name": "VESCI",
"authorized_official_first_name": "ANTIGONE",
"authorized_official_middle_name": "SOPHIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "947-989-7207",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT, DPT, ATC"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.