PT Dream Team LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

PT DREAM TEAM LLC

Doing business as

Annie's Angels Transportation

Practice address

18320 Chicago Ave
Lansing, IL 60438-3014

Phone

(708) 438-1915

NPI assigned

Apr 2, 2024

Last updated

Dec 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Annie T WilliamsNPI 1114615770

Title

Ceo

Phone

(708) 438-1915

Specialties & licenses 1

Addresses

Other names 1

• Annie's Angels Transportation Doing business as

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.

• Annie T Williams

  • Nurse's Aide
  • Lansing, IL
  • NPI 1114615770
  NPD Authorized official

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1659123875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18320 CHICAGO AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383014",
            "telephone_number": "708-438-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18320 CHICAGO AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383014",
            "telephone_number": "708-438-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT DREAM TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-438-1915"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annie's Angels Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Lynn Potter
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• Nakisha Reynolds, CNA

• Non-emergency Medical Transport (VAN) in Lansing, IL
• Providers in Lansing, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.