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General NPI Number Information
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NPI Number | 1174387732
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Entity Type | Organization
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Legal Business Name | THE PHYSICAL THERAPY ACADEMY
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Dates
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Enumeration Date | 02/13/2024
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1406 W FULTON ST APT 1001
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City | CHICAGO
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State | IL
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Zip | 60607-1145
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Country | US
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Telephone | 301-821-1311
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Fax |
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Provider Business Mailing Address
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Address Line | 905 N ORLEANS ST UNIT 1001
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City | CHICAGO
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State | IL
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Zip | 60610-3032
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Country | US
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Telephone | 301-821-1131
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DR. ALEXANDRA ANDERSON
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Credential | DPT, PT
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Telephone | 301-821-1131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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