MEDICARE: INTEGRATED THERAPY PRACTICE, PC

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
1	261QP2000X	Physical Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000372620	OTHER	IN	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	Y90R3	OTHER	FL	BCBS FLORIDA
4	90001194	OTHER	IL	BC/BS

General Provider Information

NPI Number	:	1922033083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED THERAPY PRACTICE, PC

Provider Business Mailing Address
First Line	:	1265 S LAKE PARK AVE
Second Line	:
City	:	HOBART
State	:	IN
Zip	:	46342-5961
Country	:	US
Telephone Number	:	219-531-1756
Fax Number	:	219-531-1759

Provider Business Practice Location Address
First Line	:	1265 S LAKE PARK AVE
Second Line	:
City	:	HOBART
State	:	IN
Zip	:	46342-5961
Country	:	US
Telephone Number	:	219-531-1756
Fax Number	:	219-531-1759

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT SILLEVIS
Credential	:	PT
Telephone Number	:	219-531-1756

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	09/27/2012

Similar Medicare Providers

1316804990 — DESTINY CARLISLE
Practice Location Address:

1265 S LAKE PARK AVE STE B
HOBART, IN
46342-5961

Practice Phone: 219-323-3311
Practice Fax:

1154370120 — INTEGRATED THERAPY PRACTICE
Practice Location Address:

1265 S LAKE PARK AVE
HOBART, IN
46342-5961

Practice Phone: 866-945-1538
Practice Fax:

1760413181 — ROBERT J SILLEVIS P.T.
Practice Location Address:

1265 S LAKE PARK AVE , SUITE D
HOBART, IN
46342-5961

Practice Phone: 219-945-1538
Practice Fax: 219-945-0151

1366558447 — MADONNA L GRABOS PT
Practice Location Address:

1265 S LAKE PARK AVE , SUITE D
HOBART, IN
46342-5961

Practice Phone: 219-945-1538
Practice Fax: 219-945-0151

1427562198 — COURTNEY TOMASZEWSKI LMHC, LCPC
Practice Location Address:

1265 S LAKE PARK AVE
HOBART, IN
46342-5961

Practice Phone: 219-323-3311
Practice Fax:

1750056693 — MRS. KOREE BINDER MA
Practice Location Address:

1265 S LAKE PARK AVE
HOBART, IN
46342-5961

Practice Phone: 219-707-0680
Practice Fax:

Directions to “INTEGRATED THERAPY PRACTICE, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.