Physical Therapy and Sports Injury Rehabilitation

Organization Active NPI Occupational Therapy Assistant · Hazel Crest, IL

NPI 1154448637 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1154448637
Entity type
Organization (NPI type 2)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Legal business name
PHYSICAL THERAPY AND SPORTS INJURY REHABILITATION
Practice address
1816 170TH St
Hazel Crest, IL 60429-1451
Phone
(708) 335-1415
Fax
(708) 335-4792
NPI assigned
Mar 22, 2007
Organization subpart
No

Authorized official

Name
Gregory Walter Kaumeyer, P.T.
Title
Co-Owner
Phone
(708) 335-1415

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Physical Therapy and Sports Injury Rehabilitation (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
224Z00000X Yes
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X

Addresses

Primary practice location

1816 170TH St
Hazel Crest, IL 60429-1451

Mailing address

1816 170TH St
Hazel Crest, IL 60429-1451
Phone (708) 335-1415

Other providers in Hazel Crest, IL

All providers in Hazel Crest, IL · Occupational Therapy Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.