Advanced Physical Medicine Associates SC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036094371 Issued in IL

Legal business name

ADVANCED PHYSICAL MEDICINE ASSOCIATES SC

Practice address

490 West Lake Street
Suite 105
Roselle, IL 60172-3500

Phone

(630) 924-1450

Fax

(630) 924-1459

NPI assigned

Aug 7, 2006

Last updated

Mar 31, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John C Sarantopoulos, DONPI 1639185275

Title

Physician Preisdent of Apma Sa

Phone

(630) 924-1450

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Tax ID family

Advanced Physical Medicine Associates SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Physical Medicine Associates, SC

  • Physical Medicine & Rehabilitation Physician
  • Lyons, IL
  • NPI 1154571032
  NPD tax ID
• Advanced Physical Medicine Associates, SC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1508057092
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John C Sarantopoulos, DO

  • Physical Medicine & Rehabilitation Physician
  • Roselle, IL
  • NPI 1639185275
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1487663241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 WEST LAKE STREET",
            "address_2": "SUITE 105",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723500",
            "telephone_number": "630-924-1450",
            "fax_number": "630-924-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 WEST LAKE STREET",
            "address_2": "SUITE 105",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723500",
            "telephone_number": "630-924-1450",
            "fax_number": "630-924-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL MEDICINE ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "SARANTOPOULOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN PREISDENT OF APMA SA",
        "authorized_official_telephone_number": "630-924-1450",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036094371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME NUMBER",
            "identifier": "6206500001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A2A Services LLC
• Abbington Rehab & Nursing Center LTD
• Abbington Village Nursing and Rehabilitation Center LLC
• Access Elevator, Inc. (Access Elevator)
• Advanced Health Solutions Inc
• Advantage Chiropractic
• Advocate Wellness LLC.
• Afp Podiatry LTD
• Demetria Agharese, MA, LPC
• Tariq Ahmed, DC

• Physical Medicine & Rehabilitation Physician in Roselle, IL
• Providers in Roselle, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.