Individual provider Active NPI

Aldwin-Alexis L Cabalfin

  • Physical Therapist
  • Oak Lawn, IL
National Provider Identifier
1306493093
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070024464 Issued in IL
Practice address
10201 S Cicero Ave Ste a
Oak Lawn, IL 60453-4672
Phone
(708) 658-2770
NPI assigned
Aug 19, 2019
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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 070024464 IL Primary

Addresses

Primary practice location

10201 S Cicero Ave Ste a
Oak Lawn, IL 60453-4672

Mailing address

5547 Carol Belle TRL
Oak Forest, IL 60452-3256

Other practice location 1

14640 John Humphrey Dr Ste 102
Orland Park, IL 60462-5852
Phone (708) 403-5199

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address acabalfin383635@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917003467 IL Practitioner - Physical Therapist in Private Practice 2567792559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10201 S Cicero Ave
Suite a
Oak Lawn, IL 60453-4672
Phone (708) 658-2770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070024464ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Oct 4, 2023 Accepting new patients
Orland Therapy Specialists LTD Single Specialty CurrentSince Aug 1, 2019 Accepting new patients
Advocate Health and Hospitals Corporation Single Specialty Current Accepting new patients
Advocate Health & Hospitals Corporation Single Specialty CurrentSince Oct 4, 2023 Accepting new patients
Orthopedic Specialists of Northwest Indiana LLC Single Specialty Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

10201 S Cicero Ave
Ste A
Oak Lawn, IL 60453
Phone (708) 658-2770

14640 John Humphrey Dr
Ste 102
Orland Park, IL 60462
Phone (708) 227-2771

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1306493093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5547 CAROL BELLE TRL",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 S CICERO AVE STE A",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534672",
            "telephone_number": "708-658-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14640 John Humphrey Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604625852",
            "country_code": "US",
            "telephone_number": "708-403-5199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALFIN",
        "first_name": "ALDWIN-ALEXIS",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070024464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acabalfin383635@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10201 S Cicero Ave Ste A",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604534672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "10201 S Cicero Ave Ste A",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604534672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.