Advanced Physical Medicine of Saint Charles

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ADVANCED PHYSICAL MEDICINE OF SAINT CHARLES

Practice address

40W201 Wasco Rd
Ste Ab
St Charles, IL 60175-8509

Phone

(630) 377-7788

Fax

(630) 377-7802

NPI assigned

Jul 26, 2006

Last updated

Aug 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Aaron Williamson, DCNPI 1720025927

Title

Owner

Phone

(630) 377-7788

Specialties & licenses 3

Addresses

Practitioners 3

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.

• David Aaron Williamson, D.C.

  • Chiropractor
  • St Charles, IL
  • NPI 1720025927
  Authorized official Same address or phone
• Karen French, DC

  • Chiropractor
  • St Charles, IL
  • NPI 1336369313
  NPD (past)
• Jeffrey Kline Jackson, M.D.

  • Family Medicine Physician
  • New York, NY
  • NPI 1194764860
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1831112176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W201 WASCO RD",
            "address_2": "STE AB",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601758509",
            "telephone_number": "847-717-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W201 WASCO RD",
            "address_2": "STE AB",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601758509",
            "telephone_number": "630-377-7788",
            "fax_number": "630-377-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL MEDICINE OF SAINT CHARLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-377-7788",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "042-617844",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "042-617844",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adams Eyecare, PC
• Carla Denise Adams, O.D.
• Tejasi Adavadkar-Gholap, M.D.
• Advanced Chiropractic Health and Wellness Institute, LTD.
• Advanced Interventional Pain Center SC
• Advocate Dental St Charles, LLC (Bespoke Dental Co.)
• Becky Affinito
• Affordable Dentistry Today, PC (St. Charles Lifetime Dental)
• Melissa Aguayo, PT, DPT
• Patrick Joseph Ahern, JD LCSW

• Physical Therapist in St Charles, IL
• Providers in St Charles, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.