Individual provider Active NPI

Ana Marie Boyland, BS PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1407952187
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3004 S Pulaski Rd
Chicago, IL 60623-4458
Phone
(773) 521-5300
Fax
(773) 721-5305
NPI assigned
Sep 16, 2006
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

3004 S Pulaski Rd
Chicago, IL 60623-4458

Mailing address

16541 Lockridge Ave
Oak Forest, IL 60452-4139
Phone (708) 560-0157

Other identifiers 1

IdentifierTypeStateIssuer
K11736OtherILIND MEDICARE PIN

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
070-011557ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
I. J. Rehab. Inc. PastSince Oct 2, 2004 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407952187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16541 LOCKRIDGE AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524139",
            "telephone_number": "708-560-0157",
            "fax_number": "708-333-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234458",
            "telephone_number": "773-521-5300",
            "fax_number": "773-721-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLAND",
        "first_name": "ANA",
        "middle_name": "MARIE",
        "credential": "BS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND MEDICARE PIN",
            "identifier": "K11736",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, 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.