Active NPI
Andrew Somers
- Physical Therapy Assistant
- Naperville, IL
National Provider Identifier
1255975504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160008800
- Practice address
- 1935 Springbrook Square Dr
Naperville, IL 60564-5947 - Phone
- (630) 637-9955
- NPI assigned
- Oct 30, 2019
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 160008800 | IL | Primary |
Addresses
Primary practice location
1935 Springbrook Square Dr
Naperville, IL 60564-5947
Mailing address
30W281 Small Tree CT
Warrenville, IL 60555-1343
Phone (630) 551-5241
Other practice location 1
7416 S County Line Rd
Burr Ridge, IL 60527-7960
Phone (630) 601-6192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16000880 | Other | IL | PTA LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | WebPT |
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 |
|---|---|---|---|
| 160008800 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1255975504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30W281 SMALL TREE CT",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605551343",
"telephone_number": "630-551-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 SPRINGBROOK SQUARE DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605645947",
"telephone_number": "630-637-9955"
}
],
"practiceLocations": [
{
"address_1": "7416 S County Line Rd",
"address_purpose": "LOCATION",
"city": "Burr Ridge",
"state": "IL",
"postal_code": "605277960",
"country_code": "US",
"telephone_number": "630-601-6192",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOMERS",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-30",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160008800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA LICENSE",
"identifier": "16000880",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "WebPT",
"affiliation": "N",
"address_1": "1935 Springbrook Square Dr",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605645947",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.