Tanya Bratko, PT
Individual provider Active NPI Physical Therapist · East Dundee, IL
NPI 1093134199 · NPPES record last updated Oct 7, 2015
Key facts
- NPI
- 1093134199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.008718 (IL)
- Practice address
- 308 E 1St St
East Dundee, IL 60118-1104 - Phone
- (847) 426-0917
- NPI assigned
- Apr 16, 2014
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.008718 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.008718 | IL | Yes |
Addresses
Primary practice location
308 E 1St St
East Dundee, IL 60118-1104
Mailing address
308 E 1St St
East Dundee, IL 60118-1104
Phone (847) 426-0917
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- Alan James Brongiel
- Aaron Bush
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All providers in East Dundee, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2015. 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.