Benjamin Silva
Individual provider Active NPI Physical Therapy Assistant · Summit, IL
NPI 1033870738 · NPPES record last updated Jan 4, 2022
Key facts
- NPI
- 1033870738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 5421 S 74TH Ave
Summit, IL 60501-1016 - Phone
- (708) 835-1647
- NPI assigned
- Jan 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
5421 S 74TH Ave
Summit, IL 60501-1016
Mailing address
5421 S 74TH Ave
Summit, IL 60501-1016
Phone (708) 835-1647
Other providers in Summit, IL
- Andrea Rocha
- Ankit Kirit Shah
- Dilip Shah
- Kirit C Shah
- Nazeer Shaik
- Valerie L Stout
- Summit Behavioral Health
- Summit Dental Center LLC
- Summit Medical Center S.C.
- Summit Medical Pharmacy Inc
All providers in Summit, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.