Ortho-Sport, Inc. in Forest Park - Physical Therapist
Ortho-Sport, Inc. - NPI 1942379110
Ortho-Sport, Inc. is a Physical Therapist in Forest Park, Illinois. Ortho-Sport, Inc. practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Ortho-Sport, Inc. is 1942379110. The last update date is 2020-08-22.
Ortho-Sport, Inc.'s current location address is 800 Des Plaines Ave, Forest Park, Illinois. You can contact this provider via phone number 7083662442 and fax number 7083660179. The mailing address for Ortho-Sport, Inc. is 800 Des Plaines Ave, Forest Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ortho-Sport, Inc. |
|---|---|
| Address | 800 Des Plaines Ave, Forest Park, Illinois |
| Phone Number | 7083662442 |
| Fax Number | 7083660179 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Keenum Edward Michael |
| Credentials | PT |
| Telephone Number | 7083662442 |
NPI Number Detail
| NPI Number | 1942379110 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 800 Des Plaines Ave |
|---|---|
| City | Forest Park |
| State | Illinois (IL) |
| Post Code | 601302035 |
| Phone Number | 7083662442 |
| Fax Number | 7083660179 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1683317 | IL | BCBS OF IL |
Post Comment/ Review Below
What is the unique identifier code issued to Ortho-Sport, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Ortho-Sport, Inc. has been assigned the NPI (National Provider Identifier) 1942379110. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Ortho-Sport, Inc.'s facilities are geographically located?
The facilities of Ortho-Sport, Inc. are physically situated at the following location: 800 Des Plaines Ave, Forest Park, IL, 601302035.
What is Ortho-Sport, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ortho-Sport, Inc.'s specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
On what date did the Ortho-Sport, Inc. receive the assignment of its 1942379110 from the Centers for Medicare & Medicaid Services?
The Ortho-Sport, Inc. was issued its 1942379110 by the Centers for Medicare & Medicaid Services on 2006-11-06.
As of what date was the information regarding Ortho-Sport, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ortho-Sport, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.