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NPI Code Detail

MEDICARE: PHYSICAL THERAPY PROVIDERS INC.

MEDICARE: PHYSICAL THERAPY PROVIDERS INC.
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
1235Z00000XSpeech-Language Pathologist
2225X00000XOccupational Therapist
3225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1361375100OTHERILOWCP DEPT OF LABOR
21632197OTHERILBCBS

General Provider Information

NPI Number : 1568503944
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICAL THERAPY PROVIDERS INC.
Provider Business Mailing Address
First Line : 6222 S PULASKI RD
Second Line :
City : CHICAGO
State : IL
Zip : 60629-4610
Country : US
Telephone Number : 708-229-9828
Fax Number : 708-422-0914
Provider Business Practice Location Address
First Line : 6222 S PULASKI RD
Second Line :
City : CHICAGO
State : IL
Zip : 60629-4610
Country : US
Telephone Number : 773-581-5000
Fax Number : 773-581-7781
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. MASHKOOR ALIKHAN
Credential :
Telephone Number : 773-581-5000
Provider Enumeration Date : 02/09/2007
Last Update Date : 01/18/2026

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Directions to “PHYSICAL THERAPY PROVIDERS INC. ” Practice Location

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