Active Care Physical Therapy Inc
Organization Active NPI Physical Therapy Clinic/Center · Bartlett, IL
NPI 1093486524 · NPPES record last updated Sep 23, 2021
Key facts
- NPI
- 1093486524
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- ACTIVE CARE PHYSICAL THERAPY INC
- Practice address
- 302 Barton CT
Bartlett, IL 60103-2980 - Phone
- (224) 230-4599
- NPI assigned
- Sep 23, 2021
- Organization subpart
- No
Authorized official
- Name
- Ajit Patel, PT, DPT
- Title
- President
- Phone
- (224) 230-4599
Practitioners 1
-
Ajit Patel, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211130002120 | IL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 4880084177 |
Receives reassigned benefits from 1 practitioner Practice locations: Bartlett, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
302 Barton CT
Bartlett, IL 60103-2980
Mailing address
302 Barton CT
Bartlett, IL 60103-2980
Phone (224) 230-4599
Other providers in Bartlett, IL
- A-Kids First Medical Supplies LLC
- A.P.P.L.E. Medical Homehealth, SC
- Laurie Ann Abbott
- Sameh Abdelnour
- Sabeen Rizvi Abid
- Advance Health Care Inc
- Advanced Orthopaedic and Neurologic Associates
- Ages & Stages Therapy, PC
- Carmen E Aguirre
- Palosha Ahmed
All providers in Bartlett, IL · Physical Therapy Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.