Individual provider Active NPI

Alvic Garcia Recla, PT

  • Physical Therapist
  • Niles, IL
National Provider Identifier
1801426705
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.024846 Issued in IL
Practice address
9519 N Milwaukee Ave
Niles, IL 60714-1211
Phone
(847) 390-0999
Fax
(847) 390-0949
NPI assigned
Jan 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.024846 IL Primary

Addresses

Primary practice location

9519 N Milwaukee Ave
Niles, IL 60714-1211

Mailing address

2015 Spring Rd Ste 200
Oak Brook, IL 60523-1837
Phone (630) 481-4434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211220002491 IL Practitioner - Physical Therapist in Private Practice 3375934730 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.024846ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Therapy Resource, LLC Physical Therapist CurrentSince Jun 20, 2022 Accepting new patients
Evolve Healthcare, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Dec 13, 2021 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Dec 13, 2021 Accepting new patients
Progressive Medical Center SC PastSince Jan 1, 2020 Accepting new patients
Progressive Medical Center SC PastSince Aug 4, 2024 Accepting new patients

Locations

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

9519 N Milwaukee Ave
Niles, IL 60714
Phone (847) 390-0999

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1145 N Harlem Ave
Oak Park, IL 60302
Phone (708) 386-2086

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

Interoperability endpoints

  • Direct secure messaging: alvic.recla.p9@direct.athleticoltd.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/20980/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1801426705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 SPRING RD STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231837",
            "telephone_number": "630-481-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9519 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141211",
            "telephone_number": "847-390-0999",
            "fax_number": "847-390-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECLA",
        "first_name": "ALVIC",
        "middle_name": "GARCIA",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-19",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.024846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.