Precision Physical Therapy Specialists, PLLC
Organization Active NPI Physical Therapy Clinic/Center · Dar, IL
NPI 1235908898 · NPPES record last updated Aug 6, 2024
Key facts
- NPI
- 1235908898
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- PRECISION PHYSICAL THERAPY SPECIALISTS, PLLC
- Practice address
- 8192 S Cass Ave
Dar, IL 60561 - Phone
- (708) 801-1005
- Fax
- (708) 810-8686
- NPI assigned
- Dec 25, 2023
- Organization subpart
- No
Authorized official
- Name
- Kyle Cook, PT
- Title
- Physical Therapist
- Phone
- (763) 360-1823
Practitioners 2
-
Kyle Michael Cook, MPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240722001131 | IL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8224574785 |
Receives reassigned benefits from 2 practitioners Practice locations: Darien, IL |
National Provider Directory
Locations
8192 Cass Ave
Darien, IL 60561
Phone (708) 801-1005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
8192 S Cass Ave
Dar, IL 60561
Mailing address
20632 S Ivy Path
Frankfort, IL 60423-8742
Phone (763) 360-1823
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2024. 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.