Avanza Rehabilitation LTD

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

04928725 Issued in IL

Legal business name

AVANZA REHABILITATION LTD

Practice address

3501 E 106TH St Ste 102
Chicago, IL 60617-6625

Phone

(773) 503-8715

NPI assigned

Feb 10, 2015

Last updated

May 18, 2015By 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

Alexander Alvarez, M.S. OTR/L

Title

Administrator/President

Phone

(773) 503-8715

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Brittany Nicole Senn, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1871980268
  NPD (past)

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1831580075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 E 106TH ST",
            "address_2": "SUITE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176625",
            "telephone_number": "773-503-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 E 106TH ST STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176625",
            "telephone_number": "773-503-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANZA REHABILITATION LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT",
        "authorized_official_telephone_number": "773-503-8715",
        "authorized_official_credential": "M.S. OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IL",
            "license": "04928725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avante Therapy Services, Inc
• Fnu Avanteeka, MD
• Kelsie Lynn Avants
• Avanza Counseling PLLC
• Avanza Rehabilitation LLC (Avanza Occupational Therapy)
• Avanzado Quiropractico SC (Cawley Chiropractic Care PC)
• Ema Avdagic
• Labinot Avdiu, PHARM.D.
• Elizabeth A Ave Maria, SPT
• Osvaldo Jorge Avecillas, RPH

• Rehabilitation Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.