Organization Active NPI

Alchemy Wellness Inc.

  • Physical Therapy Clinic/Center
  • Roscoe, IL
National Provider Identifier
1174954085
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070007245 Issued in IL
Legal business name
ALCHEMY WELLNESS INC.
Practice address
5428 Williams Dr
Roscoe, IL 61073-7318
Phone
(815) 703-3384
Fax
(814) 623-1400
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Mrs. Rachel Michelle Bixby, PT
Title
President
Phone
(815) 703-3384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 070007245 IL Primary

Addresses

Primary practice location

5428 Williams Dr
Roscoe, IL 61073-7318

Mailing address

5428 Williams Dr
Roscoe, IL 61073-7318
Phone (815) 703-3384

National Provider Directory

National Provider Directory

Locations

5428 Williams Dr
Roscoe, IL 61073
Phone (779) 200-5802

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1174954085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 WILLIAMS DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737318",
            "telephone_number": "815-703-3384",
            "fax_number": "814-623-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5428 WILLIAMS DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737318",
            "telephone_number": "815-703-3384",
            "fax_number": "814-623-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCHEMY WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "BIXBY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-703-3384",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070007245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roscoe, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.