Nancy Biedry
Individual provider Active NPI Pediatric Physical Therapist · Glen Ellyn, IL
NPI 1356574768 · NPPES record last updated Sep 2, 2009
Key facts
- NPI
- 1356574768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 070005108 (IL)
- Practice address
- 875 Roosevelt Rd
Glen Ellyn, IL 60137-6101 - Phone
- (630) 469-7858
- Fax
- (630) 469-0098
- NPI assigned
- Sep 2, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 070005108 | IL | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 070005108 | IL | Yes |
Addresses
Primary practice location
875 Roosevelt Rd
Glen Ellyn, IL 60137-6101
Mailing address
875 Roosevelt Rd
Glen Ellyn, IL 60137-6101
Other providers in Glen Ellyn, IL
- Bret Alan Bertrand I
- Best Illinois Home Health Care Inc
- Beyond Words Behavior, LLC
- Steven F Biagini
- Allison Catherine Bidzinski
- Claire Biga
- Biopulse Laboratory LLC
- Ashley Margaret Biro
- BKD Personal Assistance Services LLC
- Board of Education District 41
All providers in Glen Ellyn, IL · Pediatric Physical Therapist 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 2, 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.