Individual provider Active NPI

Amy Amelkovich, PT

  • Physical Therapist
  • Arlington HTS, IL
National Provider Identifier
1396755567
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1732 W Algonquin Rd
Arlington HTS, IL 60005-3405
Phone
(847) 637-1166
Fax
(847) 637-1167
NPI assigned
Aug 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

1732 W Algonquin Rd
Arlington HTS, IL 60005-3405

Mailing address

500 Park Blvd
Suite Ll80C
Itasca, IL 60143-3121
Phone (630) 285-8007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Pain Center Service Corporation Past Accepting new patients
American Home Visiting Physicians Past Accepting new patients
Midwest Physical Therpay Ctr Past Accepting new patients
Midwest Physical Therapy Center, LTD Physical Therapist PastSince Oct 1, 2009 Accepting new patients
Fahey Medical Center S.C. Past Accepting new patients
Midwest Physical Therapy CNTR Past Accepting new patients
Midwest Physical Therapy Ctr Past Accepting new patients

Organizations & group practices 7

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396755567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PARK BLVD",
            "address_2": "SUITE LL80C",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601433121",
            "telephone_number": "630-285-8007",
            "fax_number": "630-285-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 W ALGONQUIN RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600053405",
            "telephone_number": "847-637-1166",
            "fax_number": "847-637-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMELKOVICH",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.