Active NPI
Amabelle Lee Baloy David, RPT
- Physical Therapist
- Westmont, IL
National Provider Identifier
1245543362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070017397
- Practice address
- 6501 S Cass Ave
Westmont, IL 60559-3200 - Phone
- (630) 960-2026
- NPI assigned
- Jul 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070017397 | IL | Primary |
Addresses
Primary practice location
6501 S Cass Ave
Westmont, IL 60559-3200
Mailing address
2320 Pebblestone Way
Bolingbrook, IL 60490-5059
Phone (815) 677-0239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070017397 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279411200000",
"number": "1245543362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 PEBBLESTONE WAY",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604905059",
"telephone_number": "815-677-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 S CASS AVE",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605593200",
"telephone_number": "630-960-2026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "AMABELLE LEE",
"middle_name": "BALOY",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-18",
"last_updated": "2010-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070017397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.