Individual provider Active NPI

Ashley Pac, PTA

  • Physical Therapy Assistant
  • Downers Grove, IL
National Provider Identifier
1740722289
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160.007760 Issued in IL
Practice address
1027 Burlington Ave
Downers Grove, IL 60515-4609
Phone
(630) 964-4008
Fax
(630) 964-4117
NPI assigned
Nov 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160.007760 IL Primary

Addresses

Primary practice location

1027 Burlington Ave
Downers Grove, IL 60515-4609

Mailing address

5037 S Linder Ave
Chicago, IL 60638-1739

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
160.007760ILMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Be Fit Physical Therapy & Pilates, LTD PastSince Nov 19, 2012 Accepting new patients

Organizations & group practices 1

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1740722289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5037 S LINDER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 BURLINGTON AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154609",
            "telephone_number": "630-964-4008",
            "fax_number": "630-964-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAC",
        "first_name": "ASHLEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.007760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.