=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235488057
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SYMMETRY PHYSICAL THERAPY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/07/2012
-----------------------------------------------------
Last Update Date | 08/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4361 N LINCOLN AVE
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60618-2186
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-661-2990
-----------------------------------------------------
Fax | 773-661-2995
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4361 N LINCOLN AVE # 5
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60618-2186
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-661-2990
-----------------------------------------------------
Fax | 773-661-2995
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PHYSICAL THERAPIST
-----------------------------------------------------
Name | ANNE MCJIMSEY FARKAS
-----------------------------------------------------
Credential | P.T.
-----------------------------------------------------
Telephone | 773-661-2990
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2251X0800X
-----------------------------------------------------
Taxonomy Name | Orthopedic Physical Therapist
-----------------------------------------------------
License Number | 070012904
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------