Heather Lynn Conkle, PTA
Individual provider Active NPI Physical Therapy Assistant · Riverwoods, IL
NPI 1285904375 · NPPES record last updated Jan 5, 2012
Key facts
- NPI
- 1285904375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160.000672 (IL)
- Practice address
- 3705 Deerfield Rd
Riverwoods, IL 60015-3540 - Phone
- (847) 947-9000
- NPI assigned
- Jan 5, 2012
- 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 |
|---|---|---|---|
| 160.000672 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.000672 | IL | Yes |
Addresses
Primary practice location
3705 Deerfield Rd
Riverwoods, IL 60015-3540
Mailing address
3705 Deerfield Rd
Riverwoods, IL 60015-3540
Phone (847) 947-9000
Other providers in Riverwoods, IL
- Noel Sherwin Browdy
- Allison Brown
- Christopher James Broz
- Myrlie Larena Casco
- Center for Enriched Living
- Catherine Mary Cotter
- Alisa Courtney
- Creative Therapy Resource, LTD
- Katherine Anne Debroeck
- Sohail Dharani
All providers in Riverwoods, 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 5, 2012. 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.