Individual provider Active NPI

Alicia Rose Toussaint, PT, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1083193718
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.020837 Issued in IL
Practice address
11334 S Homan Ave
Chicago, IL 60655-3508
Phone
(773) 910-7485
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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 070.020837 IL Primary

Addresses

Primary practice location

11334 S Homan Ave
Chicago, IL 60655-3508

Mailing address

11334 S Homan Ave
Chicago, IL 60655-3508
Phone (773) 910-7485

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260218002404 IL Practitioner - Physical Therapist in Private Practice 9739669672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ebw Physical Therapy LLCGroup PAC ID 6103350335, 3 clinicians

Practice addresses (Care Compare)

3440 W 111TH St
Chicago, IL 60655-3302
Phone (773) 429-8912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.020837ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ebw Physical Therapy LLC Physical Therapist CurrentSince Jan 6, 2026 Accepting new patients
Joyce Family Chiropractic Inc. Physical Therapist PastSince Jan 6, 2026 Accepting new patients

Locations

3440 W 111th St
Chicago, IL 60655
Phone (773) 429-8912

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1083193718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11334 S HOMAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553508",
            "telephone_number": "773-910-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11334 S HOMAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553508",
            "telephone_number": "773-910-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUSSAINT",
        "first_name": "ALICIA",
        "middle_name": "ROSE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.020837",
            "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 Aug 13, 2018; 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.