Healthcare Provider Details

I. General information

NPI: 1942359054
Provider Name (Legal Business Name): PHYSIOTHERAPY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15507 S ROUTE 59 STE 1
PLAINFIELD IL
60544-2724
US

IV. Provider business mailing address

15507 S ROUTE 59 STE 1
PLAINFIELD IL
60544-2724
US

V. Phone/Fax

Practice location:
  • Phone: 815-267-3844
  • Fax: 815-267-3855
Mailing address:
  • Phone: 815-267-3844
  • Fax: 815-267-3855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. STEVE LEECH
Title or Position: CONTROLLER
Credential:
Phone: 901-685-7227