NPIMap

Organization Active NPI

Advanced Physical Therapy Services, LTD

Doing business as Advanced Rehab & Sports Medicine

  • Physical Therapy Clinic/Center
  • Aledo, IL
National Provider Identifier
1770843443
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070-010041 Issued in IL
Legal business name
ADVANCED PHYSICAL THERAPY SERVICES, LTD
Doing business as
Advanced Rehab & Sports Medicine
Practice address
103 SE 15TH Ave
Aledo, IL 61231-1808
Phone
(309) 661-8823
Fax
(309) 661-8801
NPI assigned
May 29, 2012
Last updated
May 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Mr. Michael Salaway, MSPTNPI 1467450627
Title
President
Phone
(309) 661-8823

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 Therapy Clinic/Center 261QP2000X 070-010041 IL Primary

Addresses

Primary practice location

103 SE 15TH Ave
Aledo, IL 61231-1808

Mailing address

PO Box 47
Bloomington, IL 61702-0047
Phone (309) 661-8823

Other names 1

  • Advanced Rehab & Sports Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Rehab Sports Medicine10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

604 SW 3rd St
Aledo, IL 61231
Phone (309) 574-3015

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1770843443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617020047",
            "telephone_number": "309-661-8823",
            "fax_number": "309-661-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SE 15TH AVE",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311808",
            "telephone_number": "309-661-8823",
            "fax_number": "309-661-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "SALAWAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-661-8823",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070-010041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Rehab & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Rehab & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aledo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.