Liberty Physical Therapy, Pc in Chicago - Orthopedic
Liberty Physical Therapy, Pc - NPI 1710930383
Liberty Physical Therapy, Pc is a Orthopedic in Chicago, Illinois. Liberty Physical Therapy, Pc practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Liberty Physical Therapy, Pc is 1710930383. The last update date is 2008-04-20.
Liberty Physical Therapy, Pc's current location address is 2738 W North Ave, Chicago, Illinois. You can contact this provider via phone number 7732929380 and fax number 7732929381. The mailing address for Liberty Physical Therapy, Pc is 2738 W North Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Liberty Physical Therapy, Pc |
|---|---|
| Address | 2738 W North Ave, Chicago, Illinois |
| Phone Number | 7732929380 |
| Fax Number | 7732929381 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Osman A Mehana |
| Credentials | PT, MS, OC |
| Telephone Number | 7732929380 |
NPI Number Detail
| NPI Number | 1710930383 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 2738 W North Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606475247 |
| Phone Number | 7732929380 |
| Fax Number | 7732929381 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1634847 | IL | BLUE CROSS BLUE SHIELD | |
| 7811632 | IL | AETNA | |
| 627364415001 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Liberty Physical Therapy, Pc?
The Liberty Physical Therapy, Pc has been issued the NPI (National Provider Identifier) 1710930383 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Liberty Physical Therapy, Pc's physical address?
The Liberty Physical Therapy, Pc is physically located at 2738 W North Ave, in the city of Chicago, IL, with the postal code 606475247.
What is Liberty Physical Therapy, Pc's area of expertise and its corresponding taxonomy classification?
The Liberty Physical Therapy, Pc's field of specialization is Orthopedic, and it falls under the taxonomy code 2251X0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710930383 to Liberty Physical Therapy, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1710930383 to Liberty Physical Therapy, Pc on 2006-05-18.
As of what date were the details pertaining to Liberty Physical Therapy, Pc last refreshed?
The information related to the Liberty Physical Therapy, Pc, including its address, specialty, and other relevant details, was last updated on 2008-04-20.
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