MEDICARE: THE PHYSICAL THERAPY ACADEMY

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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1174387732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PHYSICAL THERAPY ACADEMY

Provider Business Mailing Address
First Line	:	905 N ORLEANS ST UNIT 1001
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-3032
Country	:	US
Telephone Number	:	301-821-1131
Fax Number	:

Provider Business Practice Location Address
First Line	:	1406 W FULTON ST APT 1001
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-1145
Country	:	US
Telephone Number	:	301-821-1311
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	DR. ALEXANDRA ANDERSON
Credential	:	DPT, PT
Telephone Number	:	301-821-1131

Provider Enumeration Date	:	02/13/2024
Last Update Date	:	09/11/2025

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Directions to “THE PHYSICAL THERAPY ACADEMY ” Practice Location

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