Individual provider Active NPI

Alexandria Katsiris, PT, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1942601968
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070020943 Issued in IL
Practice address
1563 N Hoyne Ave Apt 2
Chicago, IL 60622-1861
Phone
(309) 696-5975
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070020943 IL Primary

Addresses

Primary practice location

1563 N Hoyne Ave Apt 2
Chicago, IL 60622-1861

Mailing address

1563 N. Hoyne Avenue Apt 2
Chicago, IL 60622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929001720 IL Practitioner - Physical Therapist in Private Practice 8921484890 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070020943ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Dupage and the Fox Valley Region Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Easter Seals Dupage and the Fox Valley Region Physical Therapist Past Accepting new patients

Locations

8602 Solutions Ctr
Chicago, IL 60677

1135 Bowes Rd
#B
Elgin, IL 60123
Phone (847) 742-3264

1555 Bond St
Ste 115
Naperville, IL 60563
Phone (630) 357-9699

830 S Addison Ave
Villa Park, IL 60181
Phone (630) 620-4433

Interoperability endpoints

  • Direct secure messaging: alexandria.katsiris.1@11074.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1942601968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 N. HOYNE AVENUE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 N HOYNE AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221861",
            "telephone_number": "309-696-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSIRIS",
        "first_name": "ALEXANDRIA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.