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NPI Code Detail

MEDICARE: ADVANCED PHYSICAL THERAPY LLC

MEDICARE: ADVANCED PHYSICAL THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistIN
2225X00000XOccupational TherapistIN

General Provider Information

NPI Number : 1063798981
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED PHYSICAL THERAPY LLC
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number : 630-296-2222
Fax Number :
Provider Business Practice Location Address
First Line : 2333 POST DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-1979
Country : US
Telephone Number : 317-890-7700
Fax Number :
Authorized Official
Title or Position : VP CHIEF COMPLIANCE OFFICER
Name : WADE A MEYER
Credential :
Telephone Number : 630-296-2222
Provider Enumeration Date : 10/24/2011
Last Update Date : 04/30/2024

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Directions to “ADVANCED PHYSICAL THERAPY LLC ” Practice Location

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