Active NPI
Alise Svoboda
- Physical Therapy Assistant
- Aurora, IL
National Provider Identifier
1750712980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160006424
- Practice address
- 2124 Ogden Ave
Suite 102
Aurora, IL 60504-7514 - Phone
- (630) 229-6451
- Fax
- (708) 671-0767
- NPI assigned
- Dec 13, 2013
- 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 Therapy Assistant | 225200000X | 160006424 | IL | Primary |
Addresses
Primary practice location
2124 Ogden Ave
Suite 102
Aurora, IL 60504-7514
Mailing address
2124 Ogden Ave
Suite 102
Aurora, IL 60504-7514
Phone (630) 229-6451
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
| License | State | Type | Specialty |
|---|---|---|---|
| 160006424 | IL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WCS Occupational Rehabilitation & Sports Medicine, Inc. | Past | 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.
-
- Specialist
- Aurora, IL
- NPI 1154628642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1750712980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 OGDEN AVE",
"address_2": "SUITE 102",
"city": "AURORA",
"state": "IL",
"postal_code": "605047514",
"telephone_number": "630-229-6451",
"fax_number": "708-671-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 OGDEN AVE",
"address_2": "SUITE 102",
"city": "AURORA",
"state": "IL",
"postal_code": "605047514",
"telephone_number": "630-229-6451",
"fax_number": "708-671-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVOBODA",
"first_name": "ALISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-13",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160006424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.