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General NPI Number Information
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NPI Number | 1396662185
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Entity Type | Organization
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Legal Business Name | OCTANE SPORTS PHYSICAL THERAPY COMPANY
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 345 N ERIC DR STE 500
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City | PALATINE
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State | IL
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Zip | 60067-2510
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Country | US
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Telephone | 815-739-2221
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Fax |
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Provider Business Mailing Address
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Address Line | 550 S BANBURY RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-2076
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Country | US
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Telephone | 815-739-2221
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT SHARP
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Credential | PT
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Telephone | 815-739-2221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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