Individual provider Active NPI

Bryan Navaleza, MPT

  • Physical Therapist
  • Wheaton, IL
National Provider Identifier
1467700229
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070019381 Issued in IL
Practice address
109 W Geneva Rd
Wheaton, IL 60187-9141
Phone
(630) 784-3251
Fax
(630) 665-8188
NPI assigned
Aug 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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 070019381 IL Primary

Addresses

Primary practice location

109 W Geneva Rd
Wheaton, IL 60187-9141

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

4100 Healthway Dr
Aurora, IL 60504
Phone (630) 851-3105

Other practice location 2

12640 S Route 59
#110
Plainfield, IL 60585-5400
Phone (815) 676-3900

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bnavaleza223400@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130304000250 IL Practitioner - Physical Therapist in Private Practice 0749435451 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

109 W Geneva Rd
Wheaton, IL 60187-9141
Phone (630) 784-3251

1240 Route 34
Oswego, IL 60543-8939
Phone (630) 978-6218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist Current Accepting new patients
Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Jun 5, 2023 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Brady, P.C. Physical Therapist CurrentSince Apr 6, 2009 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2022 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2022 Accepting new patients

Locations

4100 Healthway Dr
Aurora, IL 60504
Phone (630) 851-3105

1221 N Highland Ave
Aurora, IL 60506
Phone (630) 859-6700

2357 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

790 Remington Blvd
Bolingbrook, IL 60440

1337 Lily Cache Ln
Bolingbrook, IL 60490
Phone (630) 226-5110

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

28594 Network Pl
Chicago, IL 60673

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

15947 W 127th St
Ste D
Lemont, IL 60439
Phone (630) 226-5110

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

790 Royal Saint George Dr
Ste 124
Naperville, IL 60563
Phone (630) 355-5255

1212 S Naper Blvd
Ste 104
Naperville, IL 60540
Phone (630) 369-2340

2940 Rollingridge Rd
Ste 100
Naperville, IL 60564
Phone (630) 369-4771

1240 Route 34
Oswego, IL 60543
Phone (630) 978-6218

12640 S Route 59
Unit 110
Plainfield, IL 60585
Phone (815) 676-3905

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

Interoperability endpoints

  • Direct secure messaging: bnavaleza223400@direct.myadvocateaurora.org

Organizations & group practices 8

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1467700229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W GENEVA RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601879141",
            "telephone_number": "630-784-3251",
            "fax_number": "630-665-8188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Healthway Dr",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "60504",
            "country_code": "US",
            "telephone_number": "630-851-3105",
            "fax_number": "630-692-2168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12640 S Route 59",
            "address_2": "#110",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605855400",
            "country_code": "US",
            "telephone_number": "815-676-3900",
            "fax_number": "815-676-3901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVALEZA",
        "first_name": "BRYAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070019381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bnavaleza223400@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "4100 Healthway Dr",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4100 Healthway Dr",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.