Jose Luis Alvarez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160010175 Issued in IL

Practice address

4835 Belmont Rd Apt 7
Downers Grove, IL 60515-3249

Phone

(815) 791-0616

NPI assigned

Aug 15, 2024

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1871325183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 BELMONT RD APT 7",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153249",
            "telephone_number": "815-791-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 BELMONT RD APT 7",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153249",
            "telephone_number": "815-791-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160010175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Alter, MS, OTR/L
• Rudolph Alan Altergott, MD
• Roberto Alvarez Jr., COTA
• Amanda M. Beedy
• Amber Wilkins
• Jacqueline L Ambrose, M.D.
• Yorleni Ambrosio, RN, CNS

• Physical Therapy Assistant in Downers Grove, IL
• Providers in Downers Grove, 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 Aug 15, 2024; 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.