Amanda Arevalo, P.C.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

AMANDA AREVALO, P.C.

Practice address

6915 30TH PL
Berwyn, IL 60402-2957

Phone

(708) 602-1581

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Amanda ArevaloNPI 1518018399

Title

Owner

Phone

(708) 602-1581

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Amanda Arevalo, PT, MS, PCS

  • Pediatric Physical Therapist
  • Berwyn, IL
  • NPI 1518018399

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992821110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1651",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605460951",
            "telephone_number": "708-602-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 30TH PL",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022957",
            "telephone_number": "708-602-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA AREVALO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AREVALO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-602-1581"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "1634441",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Alva, M.D.
• Manuel E. Alva, M.D.
• Elizabeth Alvarado, OUTPATIENT THERAPIST
• Liliana Alvarez, NP
• Natalia Alwan, APRN
• Kyle T Amber, M.D.
• Mark Amdur, MD
• American Home Medical Supply LLC
• Jennifer Thai Andersen, MD
• Matthew Robert Andersen, M.D.

• All providers in Berwyn, IL
• Pediatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.