Ashley Kaye Vanacker

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.008314 Issued in IL

Practice address

2121 Sycamore Rd
Dekalb, IL 60115-2045

Phone

(815) 517-9083

NPI assigned

Nov 30, 2018

Last updated

Nov 30, 2018By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Athletic and Therapeutic Institute of Bourbonnais, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Bourbonnais, IL
  • NPI 1861503542
  NPD (past)

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1639649718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 AMHERST DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601788914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152045",
            "telephone_number": "815-517-9083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 W Lake St",
            "address_purpose": "LOCATION",
            "city": "Hanover Park",
            "state": "IL",
            "postal_code": "601334302",
            "country_code": "US",
            "telephone_number": "630-823-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANACKER",
        "first_name": "ASHLEY",
        "middle_name": "KAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.008314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Lynn Urnikis
• Abigail Valdez
• Jacqueline Renee Valdez, M.S.
• Pablo Valencia-Garcia
• Valley Pain Care Centers LTD
• Todd A. Vanatta, P.T.
• Dalma Vazquez-Wackt
• Sudha Rani Veerapaneni
• December Vega, ATC
• Milind M Velankar, MD

• Physical Therapy Assistant in Dekalb, IL
• Providers in Dekalb, 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 30, 2018; 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.