Organization Active NPI

Advanced Physiotherapy Inc

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1053565192
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070.009084 Issued in IL
Legal business name
ADVANCED PHYSIOTHERAPY INC
Practice address
11240 S Western Ave
Suite 3
Chicago, IL 60643-4116
Phone
(773) 779-1111
Fax
(773) 779-1525
NPI assigned
Nov 14, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Izabela AdamusNPI 1477615102
Title
Physical Therapist/President
Phone
(708) 525-4640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090323000328 IL Part B Supplier - Clinic/Group Practice 3173680964 Receives reassigned benefits from 1 practitioner
Practice locations: Hickory Hills, IL

National Provider Directory

National Provider Directory

Locations

11249 S Western Ave Ste 3
Chicago, IL 60643
Phone (708) 525-4640

11240 S Western Ave
Ste 3
Chicago, IL 60643
Phone (708) 525-4640

7667 W 95th St
Ste 108
Hickory Hills, IL 60457
Phone (708) 525-4640

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 070.009084 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

11240 S Western Ave
Suite 3
Chicago, IL 60643-4116

Mailing address

8751 Waterfront Dr Apt 2B
Palos Hills, IL 60465-3143

Other names 1

NPPES NPI Registry
  • Wholistic Therapeutics Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 23, 2009.

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1053565192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 WATERFRONT DR APT 2B",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604653143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 S WESTERN AVE",
            "address_2": "SUITE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434116",
            "telephone_number": "773-779-1111",
            "fax_number": "773-779-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSIOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "ADAMUS",
        "authorized_official_first_name": "IZABELA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "708-525-4640"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070.009084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wholistic Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.