Active NPI
Angeline Collier, PT, DPT
- Physical Therapist
- Westmont, IL
National Provider Identifier
1710128079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-016941
- Practice address
- 600 Oakmont LN Ste 600C
Westmont, IL 60559-5548 - Phone
- (630) 575-1980
- Fax
- (630) 928-5080
- NPI assigned
- Mar 17, 2009
- Sex
- Female
- 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 | 070-016941 | IL | Primary |
Addresses
Primary practice location
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Mailing address
600 Oakmont LN Ste 600C2
Westmont, IL 60559-5548
Phone (630) 575-1980
Other practice location 1
324 N Michigan Ave
Second Level
Chicago, IL 60601-3714
Phone (312) 229-5271
Other practice location 2
999 E Touhy Ave Ste 450
Des Plaines, IL 60018-2748
Phone (630) 920-2323
Other names 1
- Angeline Lamantia
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 |
|---|---|---|---|
| 070-016941 | IL | MD | Physical Therapist |
Interoperability endpoints
- angeline.collier.1@9398.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1710128079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C2",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-1980",
"fax_number": "630-928-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-1980",
"fax_number": "630-928-5080"
}
],
"practiceLocations": [
{
"address_1": "324 N Michigan Ave",
"address_2": "Second Level",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606013714",
"country_code": "US",
"telephone_number": "312-229-5271",
"fax_number": "312-578-0795",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "999 E Touhy Ave Ste 450",
"address_purpose": "LOCATION",
"city": "Des Plaines",
"state": "IL",
"postal_code": "600182748",
"country_code": "US",
"telephone_number": "630-920-2323",
"fax_number": "630-323-5625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLIER",
"first_name": "ANGELINE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-17",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-016941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELINE",
"last_name": "LAMANTIA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.