Ronald Frank Agrigento, P.T., A.T.C.
Individual provider Active NPI Physical Therapist · Blue Island, IL
NPI 1376658161 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376658161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 13114 Western Ave
Blue Island, IL 60406-2439 - Phone
- (708) 824-0515
- Fax
- (708) 824-0516
- NPI assigned
- Aug 20, 2006
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-005949 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Yes |
Addresses
Primary practice location
13114 Western Ave
Blue Island, IL 60406-2439
Mailing address
18465 Cowing CT
Homewood, IL 60430-3334
Phone (708) 206-0584
Other providers in Blue Island, IL
- Osaamah Abdulla
- Access Community Health Network
- Access Community Health Network
- Lynnetta Adams
- Patrick Adams
- Eric Aguinaldo
- Rafiq Ahmed
- Daniel Ahrens
- Renard Alexander
- Susana Coralia Alvarez
All providers in Blue Island, IL · 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 Jul 8, 2007. 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.