Active NPI
Anyssa Iliopoulos
- Physical Therapist
- Avondale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.028562
- Practice address
- 13055 W McDowell Rd Unit 107
Avondale, AZ 85392-6449 - Phone
- (623) 547-4787
- NPI assigned
- Jun 10, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.028562 | IL | Primary |
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | LPT-034272 | AZ |
Addresses
Primary practice location
13055 W McDowell Rd Unit 107
Avondale, AZ 85392-6449
Mailing address
8007 W Courtland Ave
Norridge, IL 60706-4434
Other practice location 1
1640 W Roosevelt Rd
Chicago, IL 60608-1316
Phone (312) 413-8043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1640 W Roosevelt Rd
Mc727
Chicago, IL 60608-1316
Phone (312) 413-1871
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-034272 | AZ | MD | Physical Therapist |
| 070.028562 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients |
Locations
1640 W Roosevelt Rd
#727
Chicago, IL 60608
Phone (312) 413-1871
1640 W Roosevelt Rd
Chicago, IL 60608
Phone (312) 413-1871
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
Organizations & group practices 3
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
dba UIC DHD Family Clinic
- Clinic/Center
- Chicago, IL
- NPI 1801920186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1760224950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8007 W COURTLAND AVE",
"city": "NORRIDGE",
"state": "IL",
"postal_code": "607064434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13055 W MCDOWELL RD UNIT 107",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853926449",
"telephone_number": "623-547-4787"
}
],
"practiceLocations": [
{
"address_1": "1640 W Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606081316",
"country_code": "US",
"telephone_number": "312-413-8043",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ILIOPOULOS",
"first_name": "ANYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.028562",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-034272",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.