MEDICARE: REDEFINE HEALTH EDUCATION, 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

General Provider Information

NPI Number	:	1881377711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDEFINE HEALTH EDUCATION, LLC

Provider Business Mailing Address
First Line	:	524 S ECHO LN
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-6720
Country	:	US
Telephone Number	:	312-772-2322
Fax Number	:

Provider Business Practice Location Address
First Line	:	524 S ECHO LN
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-6720
Country	:	US
Telephone Number	:	312-772-2322
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PHYSICAL THERAPIST
Name	:	KATHRYN M O'BRIGHT
Credential	:	PT, DPT, OCS
Telephone Number	:	312-772-2322

Provider Enumeration Date	:	08/08/2023
Last Update Date	:	08/08/2023

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