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NPI Code Detail

MEDICARE: ADVANCED PHYSICAL THERAPY, LLC

MEDICARE: ADVANCED PHYSICAL THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistIN
2225100000XPhysical Therapist53000009AIN
3225100000XPhysical TherapistIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316940505
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED PHYSICAL THERAPY, LLC
Provider Business Mailing Address
First Line : 2001 BUTTERFIELD RD STE 1600
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1211
Country : US
Telephone Number : 360-296-2223
Fax Number :
Provider Business Practice Location Address
First Line : 5949 W RAYMOND ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46241-1612
Country : US
Telephone Number : 317-390-5599
Fax Number : 317-486-2189
Authorized Official
Title or Position : VP CHIEF COMPLIANCE OFFICER
Name : WADE A MEYER
Credential :
Telephone Number : 630-296-2223
Provider Enumeration Date : 05/23/2005
Last Update Date : 03/24/2026

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Directions to “ADVANCED PHYSICAL THERAPY, LLC ” Practice Location

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