NPIMap

Organization Active NPI

Alton Physical Therapy, P.C.

  • Physical Therapist
  • Alton, IL
National Provider Identifier
1710017306
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-002898 Issued in IL
Legal business name
ALTON PHYSICAL THERAPY, P.C.
Practice address
1719 Clawson St
Alton, IL 62002-4702
Phone
(618) 462-1133
Fax
(618) 462-3736
NPI assigned
Mar 6, 2007
Last updated
Feb 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Authorized official

Name
Mr. William Patrick Nash Jr., PTNPI 1700871100
Title
President
Phone
(618) 462-1133

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)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-002898 IL Primary

Addresses

Primary practice location

1719 Clawson St
Alton, IL 62002-4702

Mailing address

1719 Clawson St
Alton, IL 62002-4702
Phone (618) 462-1133

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1710017306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 CLAWSON ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024702",
            "telephone_number": "618-462-1133",
            "fax_number": "618-462-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 CLAWSON ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024702",
            "telephone_number": "618-462-1133",
            "fax_number": "618-462-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTON PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-462-1133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-002898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.