Physical Therapy Associates, Llc in Pontiac - Physical Therapist
Physical Therapy Associates, Llc - NPI 1790730166
Physical Therapy Associates, Llc is a Physical Therapist in Pontiac, Illinois. Physical Therapy Associates, Llc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Physical Therapy Associates, Llc is 1790730166. The last update date is 2007-10-31.
Physical Therapy Associates, Llc's current location address is 924 W Custer Ave, Pontiac, Illinois. You can contact this provider via phone number 8158444690 and fax number 8158444810. The mailing address for Physical Therapy Associates, Llc is 924 W Custer Ave, Pontiac, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Physical Therapy Associates, Llc |
|---|---|
| Address | 924 W Custer Ave, Pontiac, Illinois |
| Phone Number | 8158444690 |
| Fax Number | 8158444810 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Schade C Jeffery |
| Credentials | PHYSICAL T |
| Telephone Number | 8158444690 |
NPI Number Detail
| NPI Number | 1790730166 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2007-10-31 |
Provider Mailing Address Detail
| Address | 924 W Custer Ave |
|---|---|
| City | Pontiac |
| State | Illinois (IL) |
| Post Code | 617641067 |
| Phone Number | 8158444690 |
| Fax Number | 8158444810 |
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 |
|---|---|---|---|
| 5732116 | IL | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Physical Therapy Associates, Llc by the Centers for Medicare & Medicaid Services?
The Physical Therapy Associates, Llc has been assigned the NPI (National Provider Identifier) 1790730166 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Physical Therapy Associates, Llc's facilities are situated?
The facilities of Physical Therapy Associates, Llc are physically located at the following address: 924 W Custer Ave, Pontiac, IL, 617641067.
What is Physical Therapy Associates, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Physical Therapy Associates, Llc'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 Physical Therapy Associates, Llc receive the assignment of its 1790730166 from the Centers for Medicare & Medicaid Services?
The Physical Therapy Associates, Llc was issued its 1790730166 by the Centers for Medicare & Medicaid Services on 2006-05-24.
As of what date were the Physical Therapy Associates, Llc's details last updated?
The information pertaining to the Physical Therapy Associates, Llc, including its address, specialty, and other details, was most recently updated on 2007-10-31.
NPI Number: 1376546309
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