EXPERIENCE PHYSICAL THERAPY, LLC (NPI# 1255956751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255956751 |
| Entity Type | Organization |
| Organization Name | EXPERIENCE PHYSICAL THERAPY, LLC |
| Practice Address |
1350 Abbott Ct Buffalo Grove IL 60089-2378 |
| Mailing Address |
8928 Marmora Ave Morton Grove IL 60053-2447 |
| Practice Telephone | 8479171476 |
| Mailing Telephone | 8479171476 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | DANIEL LE (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8479171476 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
1350 ABBOTT CT |
| City | BUFFALO GROVE |
| State | IL |
| Zip Code | 60089-2378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841795275 | Mary Elizabeth Strain, Phd LLC | Psychologist | 355 W Dundee Rd Ste 214, Buffalo Grove, IL 60089 | 2018-03-27 |
| 1861906067 | Pdi Medical IIi LLC | Pharmacy | 1623 Barclay Boulevard, Buffalo Grove, IL 60089 | 2017-11-27 |
| 1487165304 | Crystalann Sasha Thomas | Social Worker | 135 N Arlington Heights Rd., 104, Buffalo Grove, IL 60089 | 2017-10-18 |
| 1801315718 | Natalya Sagalov | Psychologist | 1283 Sandhurst Drive, Buffalo Grove, IL 60089 | 2017-09-12 |
| 1770035859 | Transport Auto Inc | Non-emergency Medical Transport (VAN) | 456 Chicory Ln, Buffalo Grove, IL 60089 | 2016-10-25 |
| 1982062535 | Eileen Fang | Occupational Therapist | 858 Horatio Blvd., Buffalo Grove, IL 60089 | 2016-02-10 |
| 1437538345 | Jamie Levin | Social Worker | 830 Belmar Lane, Buffalo Grove, IL 60089 | 2015-05-26 |
| 1669850756 | Cress Chiropractic Inc | Chiropractor | 1176 Mchenry Road, Buffalo Grove, IL 60089 | 2015-05-11 |
| 1801273123 | Vicki Lane Sheehan | Dentist | 2100 Lake Cook Rd., Suite 1100, Buffalo Grove, IL 60089 | 2015-05-06 |
| 1073918629 | Natalya Nagornaya Dds PC | Dentist | 472 Half Day Rd, Buffalo Grove, IL 60089 | 2014-10-24 |
| Find all providers in zip 60089 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437194701 | Integrity Physical Therapy, Inc. | Clinic/Center | 462 W Half Day Rd, Buffalo Grove, IL 60089-6555 | 2006-06-19 |
| 1952695488 | Integrity Physical Therapy, Inc. | Clinic/Center | 701 Deerfield Pkwy, Suite 101, Buffalo Grove, IL 60089-7508 | 2011-06-01 |
| 1760706162 | Illinois Bone and Joint Institute | Clinic/Center | 1450 Busch Pkwy, Buffalo Grove, IL 60089-4541 | 2010-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
| 1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
| 1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
| 1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
| 1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | BUFFALO GROVE |
| Zip Code | 60089 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.