Organization Active NPI

Alliance Physical Therapy, PC

  • Physical Therapist
  • Naperville, IL
National Provider Identifier
1912044710
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-010305 Issued in IL
Legal business name
ALLIANCE PHYSICAL THERAPY, PC
Practice address
1879 Bay Scott Cir
Ste. #105
Naperville, IL 60540-1108
Phone
(630) 922-0050
Fax
(630) 922-0574
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Swati R Amin, LPTNPI 1063579738
Title
Owner
Phone
(630) 922-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070-010305 IL Primary

Addresses

Primary practice location

1879 Bay Scott Cir
Ste. #105
Naperville, IL 60540-1108

Mailing address

1879 Bay Scott Cirle
Ste. #105
Naperville, IL 60540-1108
Phone (630) 922-0050

Other identifiers 1

IdentifierTypeStateIssuer
02232236OtherILBCBS OF IL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041221000549 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789642893 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory
Tax ID family
Alliance Physical Therapy2 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.

Locations

95 Trade St
Ste 102
Aurora, IL 60504
Phone (630) 898-3505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1912044710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 BAY SCOTT CIRLE",
            "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": "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "SWATI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-922-0050",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-010305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "02232236",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.