Individual provider Active NPI

Alla Glantsman, CPTA

  • Physical Therapy Assistant
  • Grayslake, IL
National Provider Identifier
1518579341
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160007690 Issued in IL
Practice address
1865 E Belvidere Rd
Grayslake, IL 60030-2218
Phone
(224) 338-6957
NPI assigned
Aug 21, 2020
Last updated
Aug 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160007690 IL Primary

Addresses

Primary practice location

1865 E Belvidere Rd
Grayslake, IL 60030-2218

Mailing address

3011 Cherry LN
Northbrook, IL 60062-4313
Phone (847) 322-1902

Other identifiers 1

IdentifierTypeStateIssuer
160007690OtherILPROFESSIONAL PTA LICENSE

Other names 1

  • Alla Sirotkin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.linkedin.com/in/aglantsman/ Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
160007690ILMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1518579341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 CHERRY LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624313",
            "telephone_number": "847-322-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 E BELVIDERE RD",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302218",
            "telephone_number": "224-338-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANTSMAN",
        "first_name": "ALLA",
        "credential": "CPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160007690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL PTA LICENSE",
            "identifier": "160007690",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.linkedin.com/in/aglantsman/",
            "affiliation": "N",
            "endpointDescription": "linkedin profile",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1865 E Belvidere Rd",
            "city": "Grayslake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600302218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALLA",
            "last_name": "SIROTKIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.