Advantage Physical Therapy Associates, SC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-002882 Issued in IL

Legal business name

ADVANTAGE PHYSICAL THERAPY ASSOCIATES, SC

Practice address

6234 Main St
Downers Grove, IL 60516-1908

Phone

(630) 960-9914

NPI assigned

May 22, 2008

Last updated

Mar 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James A Dallas, LPTNPI 1265465116

Title

President

Phone

(630) 792-9790

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James A Dallas, LPT

  • Physical Therapist
  • Lombard, IL
  • NPI 1265465116
  Authorized official Same address or phone

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1164680492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72180",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601720180",
            "telephone_number": "630-792-9790",
            "fax_number": "630-792-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6234 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161908",
            "telephone_number": "630-960-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PHYSICAL THERAPY ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "DALLAS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-792-9790",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-002882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1164680492",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adventist Health Partners, Inc (Family Health of Downers Grove)
• Adventist Health Partners, Inc (West Suburban Ear Nose & Throat Center)
• Adventist Health Partners, Inc (Healthcare for Women)
• Adventist Health Partners, Inc (Adult Medicine Physicians of Downers Grove)
• Adventist Health Partners, Inc (Downtown Downers Family Medicine)

• Physical Therapist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.