Alexa Bancel, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-018401 Issued in IL

Practice address

4754 N Lincoln Ave Ste 1
Chicago, IL 60625-7256

Phone

(772) 564-9941

Fax

(773) 694-4841

NPI assigned

May 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

B Wise Rehabilitation PLLCGroup PAC ID 6608288246, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• B Wise Rehabilitation PLLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1134726615
  Medicare reassignment Care Compare group NPD Authorized official
• Athletico LTD

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028
  Medicare reassignment NPD
• Athletico LTD

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1265725063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 N GREENVIEW AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571307",
            "telephone_number": "312-909-1510",
            "fax_number": "773-694-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4754 N LINCOLN AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257256",
            "telephone_number": "772-564-9941",
            "fax_number": "773-694-4841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 S Archer Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606161618",
            "country_code": "US",
            "telephone_number": "312-674-9132",
            "fax_number": "312-674-9392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANCEL",
        "first_name": "ALEXA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-018401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Joseph Banaszak
• Jennifer Marissa Banayan, M.D.
• Koorush Banayan, MD
• Beni Banbahji, DDS
• Anna Magdalena Banc-Husu, M.D.
• Carolina Bances
• Aprille Banchoencharoensuk
• Richard J Banchs, MD
• Stephen Bancroft
• Chathushki Bandara, DO

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.