Healthcare Provider Details

I. General information

NPI: 1477335222
Provider Name (Legal Business Name): SUMMIT PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2023
Last Update Date: 04/26/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 WILSON AVE
WHEATON IL
60189-6833
US

IV. Provider business mailing address

1509 WILSON AVE
WHEATON IL
60189-6833
US

V. Phone/Fax

Practice location:
  • Phone: 312-307-2339
  • Fax:
Mailing address:
  • Phone: 312-307-2339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANN COLLEEN NASVYTIS
Title or Position: DR/OWNER
Credential: DPT
Phone: 312-307-2339