MEDICARE: NATALIE KAYE ROPER DPT

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	225100000X	Physical Therapist	PT008861	GA
2	225100000X	Physical Therapist	PTH7333	AL
3	225100000X	Physical Therapist	070-026464	IL

General Provider Information

NPI Number	:	1346393121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE KAYE ROPER DPT

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:	630-575-1980
Fax Number	:

Provider Business Practice Location Address
First Line	:	113 S EASTWOOD DR
Second Line	:
City	:	WOODSTOCK
State	:	IL
Zip	:	60098-3519
Country	:	US
Telephone Number	:	815-334-0400
Fax Number	:	815-334-0800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	03/25/2022

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