Active NPI
Pamela Aston, PT
- Physical Therapist
- Elgin, IL
National Provider Identifier
1861479131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-004194
- Practice address
- 1975 Lin Lor LN
Elgin, IL 60123-4902 - Phone
- (847) 468-6098
- Fax
- (847) 468-6095
- NPI assigned
- Dec 28, 2005
- Last updated
- Oct 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-004194 | IL | Primary |
Addresses
Primary practice location
1975 Lin Lor LN
Elgin, IL 60123-4902
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 753210 | Other | IL | MEDICARE GROUP |
| CR2064 | Other | RAILROAD GROUP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-004194 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413158400000",
"number": "1861479131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 LIN LOR LN",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234902",
"telephone_number": "847-468-6098",
"fax_number": "847-468-6095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASTON",
"first_name": "PAMELA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2014-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-004194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "753210",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GROUP",
"identifier": "CR2064",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
- Association for Individual Development (Aid)
- Association for Individual Development (Aid Eha)
- Association for Individual Development
- Asta Care Center of Elgin LLC
- Maria Julianna Astacio, P.A.-C
- Folasade Asunmo
- Adriana Atchley, DPT
- Athletic & Therapeutic Institute of Bourbonnais LLC (ATI Physical Therapy)
- Athletic and Thearpeutic Institute of Naperville, LLC (ATI Physical Therapy)
- Athletic and Therapeutic Institute of Bourbonnais, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.