Healthcare Provider Details

I. General information

NPI: 1982228383
Provider Name (Legal Business Name): NAVIGATE PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 12/03/2020
Certification Date: 12/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 LEWIS AVE
ZION IL
60099-3099
US

IV. Provider business mailing address

PO BOX 72180
ROSELLE IL
60172-0180
US

V. Phone/Fax

Practice location:
  • Phone: 224-800-7564
  • Fax: 630-924-0462
Mailing address:
  • Phone: 630-924-0156
  • Fax: 630-924-0462

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: REBECCA MATTESON
Title or Position: OWNER
Credential: LPT
Phone: 224-800-7564