Individual provider Active NPI

Amir A Beltagi, PT, PHD

  • Physical Therapist
  • Palos Hills, IL
National Provider Identifier
1922528389
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.022905 Issued in IL
Practice address
10384 S Harlem Ave
Palos Hills, IL 60465
Phone
(708) 529-7109
NPI assigned
Jun 26, 2017
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 039599 NY
Physical Therapist 225100000X 070.022905 IL Primary

Addresses

Primary practice location

10384 S Harlem Ave
Palos Hills, IL 60465

Mailing address

10384 S Harlem Ave
Palos Hills, IL 60465
Phone (708) 529-7109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170829002961 IL Practitioner - Physical Therapist in Private Practice 6002189974 Reassigns benefits to 1 organization
I20231214003435 NY Practitioner - Physical Therapist in Private Practice 6002189974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy PCGroup PAC ID 0446214845, 12 clinicians

Practice addresses (Care Compare)

20919 Western Ave
Chicago Heights, IL 60411-2320
Phone (708) 898-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
070.022905ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy of the City PC Single Specialty CurrentSince Nov 8, 2023 Accepting new patients
Premier Physical Therapy PC Single Specialty CurrentSince Jun 25, 2025 Accepting new patients
Madison Physical Therapy Single Specialty PastSince May 23, 2019 Accepting new patients
Sensory Freeway Therapy Services OT, PT and SLP, PLLC Physical Therapist PastSince Sep 1, 2023 Accepting new patients
Palos Medical Center PLLC Single Specialty Past Accepting new patients

Locations (25 of 26)

570 Village Center Dr
Ste 205
Burr Ridge, IL 60527

4844 S Cicero Ave
Chicago, IL 60638

20919 Western Ave
Chicago Heights, IL 60411
Phone (708) 898-0800

1850 W Winchester Rd
Ste 223
Libertyville, IL 60048
Phone (847) 680-3020

1550 N Route 59
Ste 140
Naperville, IL 60563
Phone (630) 393-9880

2488 Grand Concourse
Rm 205
Bronx, NY 10458

3553 Johnson Ave
Bronx, NY 10463

612 Castle Hill Ave
Bronx, NY 10473

732 Allerton Ave
Bronx, NY 10467
Phone (718) 516-0572

798 Southern Blvd
Bronx, NY 10455
Phone (212) 540-5550

1230 Fulton St
Brooklyn, NY 11216
Phone (347) 604-6733

1600 Avenue M
Brooklyn, NY 11230
Phone (212) 505-5055

1685 Pitkin Ave
Brooklyn, NY 11212

286 Court St
Brooklyn, NY 11231
Phone (347) 604-6733

5316 Church Ave
Brooklyn, NY 11203

5418 5th Ave
Brooklyn, NY 11220
Phone (646) 752-7058

8403 3rd Ave
Brooklyn, NY 11209

18230 Hillside Ave
Jamaica, NY 11432

111 Worth St
New York, NY 10013
Phone (212) 571-4621

1458 Lexington Ave
New York, NY 10128

17 W 125th St
New York, NY 10027
Phone (212) 831-0200

201 E 77th St
New York, NY 10075
Phone (212) 879-6621

231 W 19th St
New York, NY 10011
Phone (347) 604-6733

4875 Broadway
New York, NY 10034

575 8th Ave
New York, NY 10018
Phone (212) 221-3226

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1922528389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10384 S HARLEM AVE",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "60465",
            "telephone_number": "708-529-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10384 S HARLEM AVE",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "60465",
            "telephone_number": "708-529-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTAGI",
        "first_name": "AMIR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PT, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039599",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.022905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.