Alex Total Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ALEX TOTAL WELLNESS

Practice address

13810 Cicero Ave
Suite F
Crestwood, IL 60445-1827

Phone

(708) 396-1662

Fax

(708) 396-1662

NPI assigned

Nov 1, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmed Mohamed, MSPT

Title

President

Phone

(708) 599-1661

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346327640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1354",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "604991354",
            "telephone_number": "708-599-1661",
            "fax_number": "708-599-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 CICERO AVE",
            "address_2": "SUITE F",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604451827",
            "telephone_number": "708-396-1662",
            "fax_number": "708-396-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX TOTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-599-1661",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1634289",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.