Edwin R Italia

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070013971 Issued in IL

Practice address

1599 N Farnsworth Ave
Aurora, IL 60505-1530

Phone

(630) 428-5850

NPI assigned

May 30, 2008

Last updated

May 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehabilitation Physical Therapy Services LLC

  • Physical Therapist
  • New York, NY
  • NPI 1174560650
  Medicare reassignment NPD
• Willow Therapeutics

  • Physical Therapist
  • Plainfield, IL
  • NPI 1821168204
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1366600967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605672103",
            "telephone_number": "630-428-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 N FARNSWORTH AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605051530",
            "telephone_number": "630-428-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITALIA",
        "first_name": "EDWIN",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dema Isbeih
• Kanako Ishida, DNP, FNP-BC
• Joanna Isitt
• Heather Islami
• Haya Mohammed Ismail, NP
• Ivan R Lopez MD PC (ProHealth Medical Center)
• Luke D Ivers, DPT
• Ivone Arelllano Beron, DDS, Ms, LTD
• Iyad a. Kashow MD.LTD
• Iyad a.Kashow MD LTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.