Bertina Thomas, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160005044 Issued in IL

Practice address

9826 S Western Ave
Evergreen Park, IL 60805-3200

Phone

(708) 952-8220

Fax

(708) 423-5281

NPI assigned

Nov 3, 2010

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1598066862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15716 LINCOLN AVE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604264136",
            "telephone_number": "708-527-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9826 S WESTERN AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053200",
            "telephone_number": "708-952-8220",
            "fax_number": "708-423-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BERTINA",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160005044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Cardiology Group
• The Counselors' Office
• The Headache Lab
• The Land of Her
• Abraham Thomas, MD
• Calex M Thomas, LCPC
• George Thomas, M.D.
• Michael F Thomas, D.O.
• Tiffany Thomas, LCPC
• Verna Jean Thomas

• Physical Therapy Assistant in Evergreen Park, IL
• Providers in Evergreen 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 3, 2010; 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.