Healthcare Provider Details

I. General information

NPI: 1972879831
Provider Name (Legal Business Name): ACCESS PHYSICAL THERAPY II INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2012
Last Update Date: 12/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10233 W ROOSEVELT RD.
WESTCHESTER IL
60154
US

IV. Provider business mailing address

10233 W ROOSEVELT RD.
WESTCHESTER IL
60154
US

V. Phone/Fax

Practice location:
  • Phone: 708-938-5238
  • Fax: 708-938-5239
Mailing address:
  • Phone: 708-938-5238
  • Fax: 708-938-5239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: VELMA SMITH
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 708-681-2991