Individual provider Active NPI

Alexander Pantoja Ty, P.T.

  • Physical Therapist
  • Hoffman Estates, IL
National Provider Identifier
1194909150
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070008541 Issued in IL
Practice address
1585 Barrington Rd
Ste 101
Hoffman Estates, IL 60169-1090
Phone
(847) 884-7771
Fax
(847) 884-0666
NPI assigned
Dec 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2016

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 070008541 IL Primary

Addresses

Primary practice location

1585 Barrington Rd
Ste 101
Hoffman Estates, IL 60169-1090

Mailing address

1585 Barrington Rd
Ste 101
Hoffman Estates, IL 60169-1090
Phone (847) 884-7771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080327000365 IL Practitioner - Physical Therapist in Private Practice 1557447877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center for Sports Orthopaedics SCGroup PAC ID 7618006834, 9 clinicians
Oakton Health Center SCGroup PAC ID 3779628482, 5 clinicians

Practice addresses (Care Compare)

1585 N Barrington Rd
Suite 101
Hoffman Estates, IL 60169-5019
Phone (847) 884-7771

4856 Oakton St
Skokie, IL 60077-2953
Phone (847) 329-0470

4860 Oakton St
Skokie, IL 60077-2953
Phone (847) 329-0470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oakton Health Center SC CurrentSince Apr 26, 2017 Accepting new patients
The Center for Sports Orthopaedics S.C. Physical Therapist CurrentSince Mar 31, 2015 Accepting new patients
Skypoint Medical Center, SC CurrentSince Jun 15, 2015 Accepting new patients
Advanced Pain & Spine Management, S.C. PastSince May 1, 2025 Accepting new patients

Locations

303 E Army Trail Rd
Ste 410B
Bloomingdale, IL 60108
Phone (331) 345-4599

1585 N Barrington Rd
Ste 101
Hoffman Estates, IL 60169
Phone (847) 884-7771

1102 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 301-7773

1140 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 385-4828

4860 Oakton St
Skokie, IL 60077
Phone (847) 215-8666

Interoperability endpoints

  • Direct secure messaging: alexander.ty.1@17694.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8847/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/AJJBCA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1194909150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD",
            "address_2": "STE 101",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691090",
            "telephone_number": "847-884-7771",
            "fax_number": "847-884-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD",
            "address_2": "STE 101",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691090",
            "telephone_number": "847-884-7771",
            "fax_number": "847-884-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TY",
        "first_name": "ALEXANDER",
        "middle_name": "PANTOJA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070008541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.