MEDICARE: JUST RIGHT 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
1	261QP2000X	Physical Therapy Clinic/Center	070011749	IL

General Provider Information

NPI Number	:	1790082154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUST RIGHT PHYSICAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	62 E SCHUBERT AVE
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-2022
Country	:	US
Telephone Number	:	630-752-0245
Fax Number	:	630-752-0245

Provider Business Practice Location Address
First Line	:	5729 N CENTRAL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-5555
Country	:	US
Telephone Number	:	773-675-3700
Fax Number	:	630-752-0245

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ANN L PHILIP
Credential	:	PT
Telephone Number	:	773-682-9348

Provider Enumeration Date	:	02/22/2011
Last Update Date	:	02/22/2011

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