Active NPI
Advanced Physiotherapy Inc
- Physical Therapy Clinic/Center
- Chicago, IL
National Provider Identifier
1053565192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 070.009084
- 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 Adamus
- 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.
-
- Physical Therapist
- Chicago, IL
- NPI 1063450724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 070.009084 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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
- Advanced Physical Medicine Associates, SC
- Advanced Physical Therapy & Rehabilitation
- Advanced Physician'S Association
- Advanced Physicians Network, Inc.
- Advanced Physicians, S.C.
- Advanced Plastic Surgery Associates Inc.
- Advanced Practice Network, LLC
- Advanced Psychiatry Clinics, S.C.
- Advanced Psychology Services, LLC
- Advanced Rehab Specialists Inc
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.