Individual provider Active NPI

Alvin Garcia Atun, PTA

  • Physical Therapy Assistant
  • Buffalo Grove, IL
National Provider Identifier
1831508498
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160006803 Issued in IL
Practice address
3 Villa Verde Dr
Unit 315
Buffalo Grove, IL 60089-4175
Phone
(773) 580-7009
NPI assigned
Aug 7, 2014
Last updated
Aug 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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 160006803 IL Primary

Addresses

Primary practice location

3 Villa Verde Dr
Unit 315
Buffalo Grove, IL 60089-4175

Mailing address

3 Villa Verde Dr
Unit 315
Buffalo Grove, IL 60089-4175
Phone (773) 580-7009

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
160006803ILMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1831508498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 VILLA VERDE DR",
            "address_2": "UNIT 315",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894175",
            "telephone_number": "773-580-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 VILLA VERDE DR",
            "address_2": "UNIT 315",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894175",
            "telephone_number": "773-580-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATUN",
        "first_name": "ALVIN",
        "middle_name": "GARCIA",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160006803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.