Salixto Aguilar Agudo Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05013327A Issued in IN

Practice address

601 Sheffield Ave
Dyer, IN 46311-1167

Phone

(219) 322-2273

NPI assigned

Jul 29, 2011

Last updated

Nov 7, 2021By 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 3

Addresses

Other names 1

• Clint Aguilar Agudo Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Golden Care Solutions, Inc

  • Home Health Agency
  • Naperville, IL
  • NPI 1285913483
  Authorized official Same address or phone
• Countryside Medical SC

  • Specialist
  • Countryside, IL
  • NPI 1366726283

  Multi-Specialty

  NPD (past)
• Illinois Back and Joint PLLC

  dba Illinois Back Institute

  • Sports Medicine (Family Medicine) Physician
  • Orland Park, IL
  • NPI 1750985214

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636243200000",
    "number": "1972881548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 EDINBURGH ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463859306",
            "telephone_number": "630-470-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SHEFFIELD AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111167",
            "telephone_number": "219-322-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUDO",
        "first_name": "SALIXTO",
        "middle_name": "AGUILAR",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-29",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.015817",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013327A",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IN",
            "license": "05013327A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLINT",
            "last_name": "AGUDO",
            "middle_name": "AGUILAR",
            "suffix": "JR.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nathan Alan Aardsma, D.O.
• Mezgebe Abegaz, M.D.
• Accelerated Rehabilitation
• Accelerated Rehabilitation Centers, LTD (Athletico Physical Therapy)
• Advanced Dental
• Nancy J Albright, MD
• Dakota Alessandrini, P.A.
• Toni Alexeychuk
• Ailia Karamat Ali, MD
• All of Me Therapy, LLC

• Physical Therapist in Dyer, IN
• Providers in Dyer, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; 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.