Active NPI
Ability at Home Therapy PLLC
- Physical Therapist
- Roscoe, IL
National Provider Identifier
1629642939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ABILITY AT HOME THERAPY PLLC
- Practice address
- 7839 N Gate Rd
Roscoe, IL 61073-7615 - Phone
- (989) 479-3101
- NPI assigned
- May 20, 2021
- Last updated
- Sep 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elena Colansong
- Title
- Owner
- Phone
- (989) 479-3101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
7839 N Gate Rd
Roscoe, IL 61073-7615
Mailing address
7839 N Gate Rd
Roscoe, IL 61073-7615
Phone (989) 479-3101
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Physical Therapist
- Harbor Beach, MI
- NPI 1871829739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631750400000",
"number": "1629642939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7839 N GATE RD",
"city": "ROSCOE",
"state": "IL",
"postal_code": "610737615",
"telephone_number": "989-479-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7839 N GATE RD",
"city": "ROSCOE",
"state": "IL",
"postal_code": "610737615",
"telephone_number": "989-479-3101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABILITY AT HOME THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-20",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A",
"authorized_official_last_name": "COLANSONG",
"authorized_official_first_name": "ELENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "989-479-3101"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roscoe, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.