Individual provider Active NPI

Alexis Marie Ardovitch, PT, DPT, CSCS

  • Orthopedic Physical Therapist
  • Naperville, IL
National Provider Identifier
1336717503
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
1484 Cress Creek CT
Naperville, IL 60563-1215
Phone
(630) 724-7347
NPI assigned
Jun 15, 2021
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X NU
Orthopedic Physical Therapist 2251X0800X NC Primary

Addresses

Primary practice location

1484 Cress Creek CT
Naperville, IL 60563-1215

Mailing address

1484 Cress Creek CT
Naperville, IL 60563-1215
Phone (630) 724-7347

Other practice location 1

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aardovitch726459@direct.UNC.nchie.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211015001131 NC Practitioner - Physical Therapist in Private Practice 9638577018 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ember Continuum LLC Physical Therapist CurrentSince Mar 5, 2024 Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Feb 15, 2022 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Physical Therapist CurrentSince Feb 15, 2022 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Aug 5, 2021 Accepting new patients

Locations

100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164

100 Timberhill Pl
Unit 115
Chapel Hill, NC 27514
Phone (919) 585-4588

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

102 Mason Farm Rd
Chapel Hill, NC 27514
Phone (919) 966-1459

102 Mason Farm Rd
Fl 3
Chapel Hill, NC 27599
Phone (919) 966-7689

Interoperability endpoints

  • Direct secure messaging: aardovitch726459@direct.unc.nchie.net

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1336717503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 CRESS CREEK CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631215",
            "telephone_number": "630-724-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 CRESS CREEK CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631215",
            "telephone_number": "630-724-7347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Manning Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144220",
            "country_code": "US",
            "telephone_number": "984-974-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARDOVITCH",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aardovitch726459@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "101 Manning Dr",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275144220",
            "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 Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.