Albatross, Inc
Organization Active NPI Physical Therapist · Wheaton, IL
NPI 1649648015 · NPPES record last updated Jan 8, 2019
Key facts
- NPI
- 1649648015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ALBATROSS, INC
- Practice address
- 600 S County Farm Rd Ste 201
Wheaton, IL 60187-4575 - Phone
- (312) 523-8544
- NPI assigned
- Sep 2, 2015
- Organization subpart
- No
Authorized official
- Name
- Sanjoy Roy, PT
- Title
- Ceo
- Phone
- (312) 523-8544
Practitioners 2
-
Sanjoy Roy, MPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190111000071 | IL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0941553648 |
Receives reassigned benefits from 2 practitioners Practice locations: Wheaton, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
600 S County Farm Rd Ste 201
Wheaton, IL 60187-4575
Mailing address
600 S County Farm Rd Ste 201
Wheaton, IL 60187-4575
Phone (312) 523-8544
Other names
- Albatross Physical Therapy and Wellness
Other providers in Wheaton, IL
- John Aikenhead
- Mubeena Ajmeri
- Akr Senior Care LLC
- Patcharavi Akramunkongvanich
- Albatross TMS Inc.
- Meagan Frances Alberts
- Kimberly Alcock
- Alec Joy DMD, PLLC
- Christopher Brian Alexander
- David Alfaro
All providers in Wheaton, 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 Jan 8, 2019. 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.