Legacy Physical Therapy and Wellness PLLC

PAC ID

4981055852The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

IL

Enrollments

1

Group size

6 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 2 places

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Legacy Physical Therapy and Wellness PLLC

  • Physical Therapy Clinic/Center
  • Naperville, IL
  • NPI 1992585095
• Legacy Physical Therapy and Wellness PLLC

  • Physical Therapist
  • Plainfield, IL
  • NPI 1043199607

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (6).

• Cowan Brown, DPT

  • Physical Therapist
  • Lisle, IL
  • NPI 1750757092
• Ethan David, PT, DPT

  • Physical Therapist
  • Plainfield, IL
  • NPI 1972433993
• Jeremy Glavanovits

  • Physical Therapist
  • Lyons, IL
  • NPI 1316714215
• Kimberly Hayes, DPT

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1407592777
• Natasha Jung

  • Orthopedic Physical Therapist
  • Naperville, IL
  • NPI 1306710751
• Ryan Miyashiro, DPT

  • Physical Therapist
  • Joliet, IL
  • NPI 1285083097
• Jacob Smith

  • Physical Therapist
  • St Charles, IL
  • NPI 1821828013

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.