MEDICARE: ART OF PT SPORTS & PERFORMANCE PHYSICAL THERAPY PLLC

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	:	1891466652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ART OF PT SPORTS & PERFORMANCE PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	1580 W OGDEN AVE STE 300
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-3998
Country	:	US
Telephone Number	:	630-465-5625
Fax Number	:

Provider Business Practice Location Address
First Line	:	1580 W OGDEN AVE STE 300
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-3998
Country	:	US
Telephone Number	:	630-465-5625
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GERARDO ROBLES
Credential	:	PT, DPT
Telephone Number	:	630-465-5626

Provider Enumeration Date	:	09/22/2021
Last Update Date	:	02/21/2026

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