Individual provider Active NPI

Alonso H Avina, LPT

  • Physical Therapist
  • Oak Lawn, IL
National Provider Identifier
1649286014
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-011636 Issued in IL
Practice address
10015 Melvina Ave
Oak Lawn, IL 60453-3711
Phone
(773) 370-7675
Fax
(708) 499-0322
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-011636 IL Primary

Addresses

Primary practice location

10015 Melvina Ave
Oak Lawn, IL 60453-3711

Mailing address

10015 Melvina Ave
Oak Lawn, IL 60453-3711
Phone (773) 370-7675

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-011636ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hispanic Regional Clinics SC Past Accepting new patients
Southwest Physical Therapy & Rehabilitation, LTD Physical Therapist PastSince Aug 1, 2005 Accepting new patients
Sports and Ortho P.C PastSince Jul 1, 2008 Accepting new patients
Midwest Rehabilitation Group Inc Physical Therapist PastSince Sep 1, 2021 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1649286014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 MELVINA AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533711",
            "telephone_number": "773-370-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 MELVINA AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533711",
            "telephone_number": "773-370-7675",
            "fax_number": "708-499-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVINA",
        "first_name": "ALONSO",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-011636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.