Avante Therapy Services

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Legal business name

AVANTE THERAPY SERVICES

Practice address

140 Lathrop Ave
Forest Park, IL 60130-1067

Phone

(177) 320-9537

NPI assigned

Jul 29, 2016

Last updated

Jul 29, 2016By 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

Jessica JacknowNPI 1013460781

Title

Service Provider

Phone

(773) 209-5377

Specialties & licenses 1

Addresses

Tax ID family

Avante Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Avante Therapy Services, Inc

  • Physical Therapist
  • Chicago, IL
  • NPI 1710213293
  NPD tax ID

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.

• Jessica Jacknow

  • Physical Therapy Assistant
  • Forest Park, IL
  • NPI 1013460781
  NPD (past) Authorized official

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1861945529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LATHROP AVE",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301067",
            "telephone_number": "177-320-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LATHROP AVE",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301067",
            "telephone_number": "177-320-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "JACKNOW",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SERVICE PROVIDER",
        "authorized_official_telephone_number": "773-209-5377"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ma Rizali Aquino
• Annie Merab Arnold, LCPC
• Athletic and Therapeutic Institute of Naperville, LLC (ATI Physical Therapy)
• Athletic and Therapeutic Institute of Naperville, LLC (ATI Physical Therapy)
• Rhoda Auld
• Shelley Joy Bagri, APRN, BC
• Katie Ann Baker
• Lauren Elizabeth Barry, LPC
• Muhammad Adam Bassiouny
• Behavior Intervention & Organizational Systems

• Physical Therapy Assistant in Forest Park, IL
• Providers in Forest Park, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.