Individual provider Active NPI

Avis Nga Leung, P.T.

  • Orthopedic Physical Therapist
  • Willowbrook, IL
National Provider Identifier
1427196203
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070006419 Issued in IL
Practice address
621 Plainfield Rd Ste 105
Willowbrook, IL 60527-5385
Phone
(630) 828-3824
Fax
(844) 364-8539
NPI assigned
Feb 2, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 070006419 IL Primary

Addresses

Primary practice location

621 Plainfield Rd Ste 105
Willowbrook, IL 60527-5385

Mailing address

621 Plainfield Rd Ste 105
Willowbrook, IL 60527-5385
Phone (630) 828-3824

Other practice location 1

1801 S Highland Ave
Lombard, IL 60148-4932
Phone (630) 873-8860

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

State licenses

LicenseStateTypeSpecialty
070006419ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirk Center for Healthy Living, PC Orthopedic PastSince Oct 1, 2012 Accepting new patients
Hand and Orthopaedic Surgery Center Inc Past Accepting new patients
L.V. Chiropractic, Inc. Past Accepting new patients
Family Care Chiropractic and Acupuncture, PC Orthopedic Past Accepting new patients

Organizations & group practices 4

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427196203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 PLAINFIELD RD STE 105",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275385",
            "telephone_number": "630-828-3824",
            "fax_number": "844-364-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 PLAINFIELD RD STE 105",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275385",
            "telephone_number": "630-828-3824",
            "fax_number": "844-364-8539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 S Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601484932",
            "country_code": "US",
            "telephone_number": "630-873-8860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "AVIS",
        "middle_name": "NGA",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070006419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • 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.