Athletic Edge and Wellness

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

ATHLETIC EDGE AND WELLNESS

Practice address

1541 Southridge TRL
Algonquin, IL 60102-6602

Phone

(847) 987-0438

NPI assigned

Mar 31, 2022

Last updated

Mar 31, 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

Kathleen A Ryan-Ceisel, PTNPI 1740390095

Title

Owner

Phone

(224) 505-3343

Specialties & licenses 1

Addresses

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.

• Kathleen A Ryan Ceisel, PT

  • Physical Therapist
  • Algonquin, IL
  • NPI 1740390095

  Sports Medicine

  NPD Authorized official

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1841930351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 SOUTHRIDGE TRL",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026602",
            "telephone_number": "847-987-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 SOUTHRIDGE TRL",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026602",
            "telephone_number": "847-987-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIC EDGE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "RYAN-CEISEL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-505-3343",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nickolas Armstrong, PSY.D.
• Mussarat Arshad, M.D.
• Arsenio D Atadero, M.D.
• Jennifer Atadero, M.D.
• Atelier Mental Health Counseling PLLC
• Atkinson Eye Care, P.C.
• William R Atkinson, O.D.
• Av360 LLC
• Jakob Awender, DPT
• Back of America LTD. (compass chiropractic and wellness)

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.