Adam Andersen, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

07013087 Issued in IL

Practice address

100 E Walton Street
Suite 700
Chicago, IL 60611-1448

Phone

(312) 642-3963

Fax

(312) 642-3966

NPI assigned

Nov 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Achieve Orthopedic Rehabilitation Institute,Inc

  • Physical Therapist
  • Chicago, IL
  • NPI 1053331447
  NPD (past)
• South Suburban Open MRI of Orland, LLC

  • Radiology Clinic/Center
  • Orland Hills, IL
  • NPI 1881639425
  NPD (past)

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1477733095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604820207",
            "telephone_number": "708-403-1155",
            "fax_number": "708-403-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E WALTON STREET",
            "address_2": "SUITE 700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111448",
            "telephone_number": "312-642-3963",
            "fax_number": "312-642-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "ADAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-12",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "07013087",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Andary, PHARMD
• Julia Ann Andary, M.A.
• Sarah Biedemariam Andebrhan, MD, MPH
• Robert Ander, MD
• Laura Lee Anders, M.D.
• Anna L Andersen, LPC
• David Andersen, DC
• Eric P Andersen, D.D.S.
• Lauren Andersen, DPT
• Molly Andersen, D.O

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.