Healthcare Provider Details

I. General information

NPI: 1386736965
Provider Name (Legal Business Name): BARRINGTON REHABILITATION AND SPORTS PHYSICAL THERAPY LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 03/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27401 W IL ROUTE 22 SUITE 107
BARRINGTON IL
60010-5999
US

IV. Provider business mailing address

27401 W IL ROUTE 22 SUITE 107
BARRINGTON IL
60010-5999
US

V. Phone/Fax

Practice location:
  • Phone: 847-381-8812
  • Fax: 847-381-6311
Mailing address:
  • Phone: 847-381-8812
  • Fax: 847-381-6311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL J. SULLIVAN
Title or Position: OWNER/ PHYSICAL THERAPIST
Credential: P.T.
Phone: 847-381-8812