Individual provider Active NPI

Ahmed Asy, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1073011862
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070008489 Issued in IL
Practice address
4455 W Grand Ave
Chicago, IL 60639-4708
Phone
(630) 575-6250
Fax
(630) 575-7450
NPI assigned
Jan 26, 2018
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070008489 IL Primary

Addresses

Primary practice location

4455 W Grand Ave
Chicago, IL 60639-4708

Mailing address

570 Village Center Dr Ste 205
Burr Ridge, IL 60527-4526
Phone (630) 920-4670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111001095 IL Practitioner - Physical Therapist in Private Practice 1355364738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy PCGroup PAC ID 0446214845, 12 clinicians

Practice addresses (Care Compare)

236 E 147TH St
Harvey, IL 60426-1947
Phone (630) 920-4670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070008489ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jan 15, 2018 Accepting new patients
Premier Physical Therapy PC Physical Therapist CurrentSince Jan 9, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jan 15, 2018 Accepting new patients
Chicago Rehabilitation Services Inc Physical Therapist PastSince Oct 1, 2003 Accepting new patients

Locations

570 Village Center Dr
Ste 205
Burr Ridge, IL 60527

4455 W Grand Ave
Chicago, IL 60639
Phone (630) 575-6250

6502 Joliet Rd
Ste B
Countryside, IL 60525
Phone (708) 352-0547

1294 S US Highway 12
Fox Lake, IL 60020
Phone (847) 973-9440

236 E 147th St
Harvey, IL 60426

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

1850 W Winchester Rd
Ste 223
Libertyville, IL 60048
Phone (847) 680-3020

300 S State St
Marengo, IL 60152
Phone (815) 568-4550

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1073011862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 VILLAGE CENTER DR STE 205",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605274526",
            "telephone_number": "630-920-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606394708",
            "telephone_number": "630-575-6250",
            "fax_number": "630-575-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASY",
        "first_name": "AHMED",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-26",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070008489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.