Aimee Jane Aledia Pena, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070021464 Issued in IL

Practice address

500 Asbury Ave
Evanston, IL 60202-2724

Phone

(847) 316-3320

NPI assigned

Jul 28, 2020

Last updated

Jul 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1063021731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9335 LINDER AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771135",
            "telephone_number": "224-623-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ASBURY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022724",
            "telephone_number": "847-316-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "AIMEE JANE",
        "middle_name": "ALEDIA",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle M Pelc, D.D.S.
• Chimene A Pellar, M.D.
• Matthew M Pellerite, M.D., M.P.H.
• Rebecca Lynn Peltzer-Miller, MSN, RN, CNL
• Mehul Pema, DO
• Veronica Pena, LCPC
• Rebecca Peng, PHARM D
• Carliann Pentz
• Nicole Penz, LCSW
• Angela Perez-Martinez

• Physical Therapist in Evanston, IL
• Providers in Evanston, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.

Verify at the official NPI Registry.