MEDICARE: ORLAND THERAPY SPECIALISTS LTD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	225100000X	Physical Therapist	IL
2	2251S0007X	Sports Physical Therapist	IL
3	2251X0800X	Orthopedic Physical Therapist	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	0931450001	OTHER	IL	MEDICARE DME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4429630	OTHER	IL	AETNA INSURANCE
4	1618482	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1568589844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORLAND THERAPY SPECIALISTS LTD

Provider Business Mailing Address
First Line	:	14640 JOHN HUMPHREY DR
Second Line	:	SUITE 102
City	:	ORLAND PARK
State	:	IL
Zip	:	60462-5854
Country	:	US
Telephone Number	:	708-403-5199
Fax Number	:	708-403-7274

Provider Business Practice Location Address
First Line	:	14640 JOHN HUMPHREY DR
Second Line	:	SUITE 102
City	:	ORLAND PARK
State	:	IL
Zip	:	60462-5854
Country	:	US
Telephone Number	:	708-403-5199
Fax Number	:	708-403-7274

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SCOTT C NYE
Credential	:	PT
Telephone Number	:	708-403-5199

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	09/11/2025

Similar Medicare Providers

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Practice Location Address:

14640 JOHN HUMPHREY DR , SUITE 102
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1972483139 — APRIL NICOLE MOSES MHA, BSN, RN
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1407651854 — ALA'A MASHAL FNP
Practice Location Address:

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1619300936 — CHRISTINE OBRIEN L.C.P.C.
Practice Location Address:

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Directions to “ORLAND THERAPY SPECIALISTS LTD ” Practice Location

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