Individual provider Active NPI

Alexandra Battistoni Russell, DPT

  • Physical Therapist
  • Downers Grove, IL
National Provider Identifier
1174990055
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070021752 Issued in IL
Practice address
939 Burlington Ave
Downers Grove, IL 60515-4884
Phone
(630) 963-8505
Fax
(630) 963-8495
NPI assigned
Aug 27, 2015
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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 070021752 IL Primary

Addresses

Primary practice location

939 Burlington Ave
Downers Grove, IL 60515-4884

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other names 1

  • Alexandra Battistoni Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170331001988 SC Practitioner - Physical Therapist in Private Practice 4789992066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RSFH - Ati Physical Therapy LLCGroup PAC ID 3375849946, 98 clinicians

Practice addresses (Care Compare)

1941 Savage Rd
Suite 300a
Charleston, SC 29407-4790
Phone (843) 402-1495

325 Folly Rd
Suite 107
Charleston, SC 29412-2507
Phone (843) 762-0147

3690 Bohicket Rd
Suite 3D
Johns Island, SC 29455-7127
Phone (843) 768-2093

9241 University Blvd
Suite B1
North Charleston, SC 29406-9349
Phone (843) 764-4887

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
89.43
Improvement activities
40
Cost
74.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070021752ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince May 11, 2023 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2017 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince May 11, 2023 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2017 Accepting new patients

Locations (25 of 26)

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

33299 Collection Ctr Dr
Chicago, IL 60693

1730 Savannah Hwy
Charleston, SC 29407
Phone (843) 763-4115

1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495

325 Folly Rd
Ste 107
Charleston, SC 29412
Phone (843) 762-0147

5400 International Blvd
Bldg 8821
Charleston, SC 29418
Phone (843) 763-4115

900 Island Park Dr
Ste 108
Daniel Island, SC 29492
Phone (843) 284-5285

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

4237 River Hills Dr
Ste 110
Little River, SC 29566
Phone (843) 467-8032

4237 River Hills Dr
Ste 120
Little River, SC 29566
Phone (843) 249-5616

116 Foxbank Plantation Blvd
Ste E
Moncks Corner, SC 29461
Phone (843) 761-4622

405 Faison Rd
Ste 105
Mount Pleasant, SC 29466
Phone (843) 352-2935

180 Wingo Way
Ste 303
Mt Pleasant, SC 29464
Phone (843) 972-0940

1909 N Highway 17
Ste Q
Mt Pleasant, SC 29464
Phone (843) 416-9026

586 Lone Tree Dr
Mt Pleasant, SC 29464
Phone (843) 884-7880

5046 Highway 17 Byp S
Ste 201
Myrtle Beach, SC 29588
Phone (843) 293-8868

8161 Rourk St
Myrtle Beach, SC 29572
Phone (843) 449-3685

2070 Northbrook Blvd
Ste A9
North Charleston, SC 29406
Phone (843) 377-0268

5401 Netherby Ln
Ste 300
North Charleston, SC 29420
Phone (843) 225-5211

8950 University Blvd
Ste 200A
North Charleston, SC 29406
Phone (843) 414-1140

9241 University Blvd
Ste A
North Charleston, SC 29406
Phone (843) 414-1140

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

1718 State Rd
Ste 7D
Summerville, SC 29486
Phone (843) 303-9418

330 E 5th North St
Ste De
Summerville, SC 29483
Phone (843) 695-0326

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1174990055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 BURLINGTON AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154884",
            "telephone_number": "630-963-8505",
            "fax_number": "630-963-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ALEXANDRA",
        "middle_name": "BATTISTONI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "BATTISTONI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.