Healthcare Provider Details

I. General information

NPI: 1255132346
Provider Name (Legal Business Name): THERAFIT PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9226 N LINCOLN AVE
DES PLAINES IL
60016-3952
US

IV. Provider business mailing address

9226 N LINCOLN AVE
DES PLAINES IL
60016-3952
US

V. Phone/Fax

Practice location:
  • Phone: 847-208-1546
  • Fax:
Mailing address:
  • Phone: 847-208-1546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. BRIDGET GEORGE
Title or Position: MANAGER
Credential: PT, DPT
Phone: 847-208-1546