Professional Physical Therapy Services, P.C. in Chicago - Physical Therapy Assistant

Professional Physical Therapy Services, P.C. - NPI 1922205178

Professional Physical Therapy Services, P.C. is a Physical Therapy Assistant in Chicago, Illinois. Professional Physical Therapy Services, P.C. practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Professional Physical Therapy Services, P.C. is 1922205178. The last update date is 2010-03-04.

Professional Physical Therapy Services, P.C.'s current location address is 10201 S Western Ave, Chicago, Illinois. You can contact this provider via phone number 7737797273 and fax number 7737797298. The mailing address for Professional Physical Therapy Services, P.C. is 10201 S Western Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Professional Physical Therapy Services, P.C.
Address 10201 S Western Ave, Chicago, Illinois
Phone Number 7737797273
Fax Number 7737797298
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Olofsson M. Christy
Credentials O.T.R., P.
Telephone Number 7737797273

NPI Number Detail

NPI Number 1922205178
Provider Enumeration Date 2007-06-29
Last Updated Date 2010-03-04

Provider Mailing Address Detail

Address 10201 S Western Ave
City Chicago
State Illinois (IL)
Post Code 606431917
Phone Number 7737797273
Fax Number 7737797298

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 160004410
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1618872 IL BC BS OF IL
650004791 IL R.R. MEDICARE

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FAQs about Professional Physical Therapy Services, P.C.

What is the unique provider identifier assigned to Professional Physical Therapy Services, P.C.?

The Professional Physical Therapy Services, P.C. has been issued the NPI (National Provider Identifier) 1922205178 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Professional Physical Therapy Services, P.C. is located?

The Professional Physical Therapy Services, P.C. is situated at the following address: 10201 S Western Ave, Chicago, IL, 606431917.

What is the Professional Physical Therapy Services, P.C.'s specialty and taxonomy code?

The Professional Physical Therapy Services, P.C.'s specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.

On what date did Professional Physical Therapy Services, P.C. receive its 1922205178 assignment from the Centers for Medicare & Medicaid Services?

The Professional Physical Therapy Services, P.C. was assigned its 1922205178 on 2007-06-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Professional Physical Therapy Services, P.C. most recently updated or revised?

The details related to Professional Physical Therapy Services, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2010-03-04.

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