Pro-Motion Physical Therapy LLC

Organization Active NPI Specialist · Minooka, IL

NPI 1689607368 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1689607368
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
Legal business name
PRO-MOTION PHYSICAL THERAPY LLC
Practice address
1010 S Ridge Rd
Minooka, IL 60447-8810
Phone
(815) 521-4400
Fax
(815) 521-9709
NPI assigned
Jul 8, 2006
Organization subpart
No

Authorized official

Name
Jayne M Sutcliffe, PT
Title
Physical Therapist/Owner
Phone
(815) 521-4400

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

901 S Ridge Rd
Minooka, IL 60447
Phone (815) 521-4400

1010 S Ridge Rd
Minooka, IL 60447
Phone (815) 521-4400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X Yes

Addresses

Primary practice location

1010 S Ridge Rd
Minooka, IL 60447-8810

Mailing address

1010 S Ridge Rd
Minooka, IL 60447-8810
Phone (815) 521-4400

Other identifiers

IdentifierTypeStateIssuer
9932202OtherILBLUE CROSS/BLUE SHIELD

Other providers in Minooka, IL

All providers in Minooka, IL · Specialist in Illinois

Sources for this page

Verify at the official NPI Registry.