Active NPI
Alliance Physical Therapy
- Physical Therapist
- Bolingbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-010305
- Legal business name
- ALLIANCE PHYSICAL THERAPY
- Practice address
- 454 W Boughton Rd
Bolingbrook, IL 60440-1385 - Phone
- (630) 759-4411
- Fax
- (630) 759-6063
- NPI assigned
- Oct 27, 2011
- Last updated
- Oct 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Swati R Amin, LPT
- Title
- President
- Phone
- (630) 922-0050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-010305 | IL | Primary |
Addresses
Primary practice location
454 W Boughton Rd
Bolingbrook, IL 60440-1385
Mailing address
1879 Bay Scott Cir
Ste. #105
Naperville, IL 60540-1108
Phone (630) 922-0050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148786904001 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Alliance Physical Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Naperville, IL
- NPI 1912044710
Practitioners & affiliated clinicians
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.
-
- Physical Therapist
- Naperville, IL
- NPI 1063579738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319673600000",
"number": "1902182546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1879 BAY SCOTT CIR",
"address_2": "STE. #105",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605401108",
"telephone_number": "630-922-0050",
"fax_number": "630-922-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 W BOUGHTON RD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401385",
"telephone_number": "630-759-4411",
"fax_number": "630-759-6063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-27",
"last_updated": "2011-10-27",
"status": "A",
"authorized_official_last_name": "AMIN",
"authorized_official_first_name": "SWATI",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-922-0050",
"authorized_official_credential": "LPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-010305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148786904001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.