Healthcare Provider Details

I. General information

NPI: 1265599534
Provider Name (Legal Business Name): FRANKFORT PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 W LINCOLN HWY SUITE D
FRANKFORT IL
60423-9490
US

IV. Provider business mailing address

7777 W LINCOLN HWY SUITE D
FRANKFORT IL
60423-9490
US

V. Phone/Fax

Practice location:
  • Phone: 815-806-0777
  • Fax: 815-806-0722
Mailing address:
  • Phone: 815-806-0777
  • Fax: 815-806-0722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. DANIEL A. RYBA
Title or Position: OWNER
Credential: PHYSICAL THERAPIST
Phone: 815-806-0777