Active NPI
Alaheldean Abdelhadi
- Physical Therapy Assistant
- Chiago, IL
National Provider Identifier
1265914592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160.008335
- Practice address
- 6526 Spulaski Rd
Chiago, IL 60629-6062 - Phone
- (177) 358-5946
- NPI assigned
- Sep 4, 2018
- Last updated
- Feb 1, 2024
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 160.008335 | IL | Primary |
Addresses
Primary practice location
6526 Spulaski Rd
Chiago, IL 60629-6062
Mailing address
9254 Wherry LN
Orland Park, IL 60462-7785
Phone (708) 954-7101
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 |
|---|---|---|---|
| 160.008335 | IL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supreme Physical Therapy Co. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba Supreme PT Co.
- Physical Therapy Clinic/Center
- Tinley Park, IL
- NPI 1083489611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1265914592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9254 WHERRY LN",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604627785",
"telephone_number": "708-954-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6526 SPULASKI RD",
"city": "CHIAGO",
"state": "IL",
"postal_code": "606296062",
"telephone_number": "177-358-5946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELHADI",
"first_name": "ALAHELDEAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-04",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160.008335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.