Advance Sports Therapy

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

227012530 Issued in IL

Legal business name

ADVANCE SPORTS THERAPY

Practice address

800 W 5TH Ave
Suite 100G
Naperville, IL 60563-8965

Phone

(630) 708-8778

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Azlaan ArifNPI 1952850778

Title

Owner

Phone

(630) 708-8778

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.

• Azlaan Arif, LMT

  • Mechanotherapist
  • Naperville, IL
  • NPI 1952850778
  NPD (past) Authorized official

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1831640424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 5TH AVE",
            "address_2": "SUITE 100G",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638965",
            "telephone_number": "630-708-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 5TH AVE",
            "address_2": "SUITE 100G",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638965",
            "telephone_number": "630-708-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE SPORTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "ARIF",
        "authorized_official_first_name": "AZLAAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-708-8778"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": "IL",
            "license": "227012530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adult & Pediatric Dermatology of Naperville, LTD.
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• Advance Rehab Network, Inc.
• Advanced Ankle & Foot Care Center LTD
• Advanced Behavioral Health Services LLC
• Advanced Clinical & Surgical Dermatology
• Advanced Family Dental and Orthodontics, P.C.
• Advanced Health & Physicians

• Mechanotherapist in Naperville, IL
• Providers in Naperville, IL by specialty
• Mechanotherapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.