Individual provider Active NPI

Peter Chiong, PTA

  • Physical Therapy Assistant
  • Bolingbrook, IL
National Provider Identifier
1790699056
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160.003383 Issued in IL
Practice address
1485 Envee Dr
Bolingbrook, IL 60490-6585
Phone
(630) 209-0985
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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 160.003383 IL Primary

Addresses

Primary practice location

1485 Envee Dr
Bolingbrook, IL 60490-6585

Mailing address

205 W Grand Ave Ste 101
Bensenville, IL 60106-3397
Phone (866) 573-2556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1790699056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W GRAND AVE STE 101",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063397",
            "telephone_number": "866-573-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 ENVEE DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604906585",
            "telephone_number": "630-209-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIONG",
        "first_name": "PETER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.003383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.