Nicholas Jordan Atherton

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160010266 Issued in IL

Practice address

478 Central Ave
Highland Park, IL 60035-2651

Phone

(847) 748-9175

Fax

(773) 345-5616

NPI assigned

Nov 1, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1487477287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 KENILWORTH CT",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 CENTRAL AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352651",
            "telephone_number": "847-748-9175",
            "fax_number": "773-345-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHERTON",
        "first_name": "NICHOLAS",
        "middle_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160010266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aparent Ivf International
• Arawan Artistry Aesthetics
• Assertive Mission, LTD
• Associates in Psychological Services LTD
• Astrid Edith Hesse
• Athletico, LTD
• Phieu Au, PHARM D.
• Audere Psychotherapy PLLC
• Roberta Auslander, PSY.D.
• Avacure Healthcare,LLC

• Physical Therapy Assistant in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.