Robert S Ahlgren, PTA
Individual provider Active NPI Physical Therapy Assistant · Wood Dale, IL
NPI 1346474236 · NPPES record last updated May 7, 2009
Key facts
- NPI
- 1346474236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160003121 (IL)
- Practice address
- 387 Spruce Rd
Wood Dale, IL 60191-2544 - Phone
- (603) 616-1776
- NPI assigned
- May 7, 2009
- Sex
- Male
- 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 |
|---|---|---|---|
| 160003121 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160003121 | IL | Yes |
Addresses
Primary practice location
387 Spruce Rd
Wood Dale, IL 60191-2544
Mailing address
387 Spruce Rd
Wood Dale, IL 60191-2544
Other providers in Wood Dale, IL
- Accord Medical Labs of TX LLC
- Ace Health Center, LTD.
- Addison Physical Medicine and Rehabilitation Center LTD.
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
- K. Basheer Ahmed
- Christine Alevritis
- Allie Divito-McCoy Therapeutic Services PLLC
- Alpha Medical Supply LLC
- American Drug Stores LLC
All providers in Wood Dale, 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 May 7, 2009. 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.