Axcess Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070012917 Issued in IL

Legal business name

AXCESS PHYSICAL THERAPY, LLC

Practice address

141 N Schuyler Ave
Kankakee, IL 60901-3828

Phone

(815) 614-2100

Fax

(815) 614-2101

NPI assigned

Mar 10, 2009

Last updated

Jul 14, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Aaron W Fuerst, DPTNPI 1174544266

Title

Owner

Phone

(815) 549-6587

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron Fuerst, PT

  • Physical Therapist
  • Kankakee, IL
  • NPI 1174544266
  Authorized official Same address or phone
• Dennis Fung, PT

  • Physical Therapist
  • Bourbonnais, IL
  • NPI 1740512870
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1780825455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N SCHUYLER AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013828",
            "telephone_number": "815-614-2100",
            "fax_number": "815-614-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N SCHUYLER AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013828",
            "telephone_number": "815-614-2100",
            "fax_number": "815-614-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXCESS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "FUERST",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-549-6587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070012917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aunt Martha's Youth Service Center Inc
• Aunt Martha's Youth Service Center, Inc (Aunt Martha's ADAPT)
• Aunt Martha's Youth Service Center, Inc. (Aunt Martha's ADAPT)
• Toree Autman
• Alejandra Avalos
• Arjun Bagai, DO
• Vinay V Bajaj, M.D.
• Jessica Baker
• Deborah R Baldauff, MSW, LSW
• Olga Banys, PA-C

• Physical Therapy Clinic/Center in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.