Susan Marie Alexander, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160001973 Issued in IL

Practice address

5540 W 111TH St
Oak Lawn, IL 60453-5574

Phone

(708) 422-1311

Fax

(708) 422-1812

NPI assigned

Nov 3, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1356594485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 W 111TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535574",
            "telephone_number": "708-422-1311",
            "fax_number": "708-422-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 W 111TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535574",
            "telephone_number": "708-422-1311",
            "fax_number": "708-422-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160001973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nia Aldridge
• Jinky Alejo
• Paraskevi Eva Alexander, FNP
• Philip Joseph Alexander, M.D.
• Rachel Nicole Alexander, DO
• Hanan Alfasfos
• Hadia Alhalabi
• Issa Alhamoud
• Amna Ali
• Muhammad Ali

• Physical Therapy Assistant in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.