Active NPI
Alonso H Avina, LPT
- Physical Therapist
- Oak Lawn, IL
National Provider Identifier
1649286014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-011636
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 070-011636 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hispanic Regional Clinics SC | Past | Accepting new patients | |
| Southwest Physical Therapy & Rehabilitation, LTD | Physical Therapist | Past | Accepting new patients |
| Sports and Ortho P.C | Past | Accepting new patients | |
| Midwest Rehabilitation Group Inc | Physical Therapist | Past | 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.
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- Internal Medicine Physician
- Chicago, IL
- NPI 1184653040
-
- Physical Therapist
- Arlington Heights, IL
- NPI 1174779623
-
- Orthopedic Physical Therapist
- Oak Lawn, IL
- NPI 1699899104
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1871640565
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.