Healthcare Provider Details

I. General information

NPI: 1609540228
Provider Name (Legal Business Name): AF THERAPY CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2021
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7251 ENGLE RD
MIDDLEBURG HEIGHTS OH
44130-3443
US

IV. Provider business mailing address

2600 COMPASS RD
GLENVIEW IL
60026-8001
US

V. Phone/Fax

Practice location:
  • Phone: 216-772-1105
  • Fax:
Mailing address:
  • Phone: 847-441-5593
  • Fax: 847-386-5196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JEFF SCHLATT
Title or Position: VP OF ALF OPERATIONS AND ANALYTICS
Credential:
Phone: 216-772-1105