MEDICARE: ANNIE ELIZABETH FLEMING PT, DPT, CLT

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	2251X0800X	Orthopedic Physical Therapist	PTL.0018432	CO
2	225100000X	Physical Therapist	070029859	IL

General Provider Information

NPI Number	:	1659224491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNIE ELIZABETH FLEMING PT, DPT, CLT

Provider Business Mailing Address
First Line	:	250 E SUPERIOR ST FL 5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2914
Country	:	US
Telephone Number	:	312-472-4156
Fax Number	:	312-472-4161

Provider Business Practice Location Address
First Line	:	250 E SUPERIOR ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2914
Country	:	US
Telephone Number	:	312-926-2000
Fax Number	:

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

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	06/09/2026

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