MEDICARE: PHYSICAL THERAPY & REHAB NET INC

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

General Provider Information

NPI Number	:	1831141233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL THERAPY & REHAB NET INC

Provider Business Mailing Address
First Line	:	11240 S WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-4116
Country	:	US
Telephone Number	:	773-779-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	11240 S WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-4116
Country	:	US
Telephone Number	:	773-779-1111
Fax Number	:	773-779-1525

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	AMALIA HERRERA
Credential	:
Telephone Number	:	708-539-9544

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	03/17/2022

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