Basic Information
| Provider Information | |||||||||
| NPI: | 1972879831 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ACCESS PHYSICAL THERAPY II INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10233 W ROOSEVELT RD. | ||||||||
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| City: | WESTCHESTER | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60154 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7089385238 | ||||||||
| FaxNumber: | 7089385239 | ||||||||
| Practice Location | |||||||||
| Address1: | 10233 W ROOSEVELT RD. | ||||||||
| Address2: | |||||||||
| City: | WESTCHESTER | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60154 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7089385238 | ||||||||
| FaxNumber: | 7089385239 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2012 | ||||||||
| LastUpdateDate: | 12/18/2014 | ||||||||
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| AuthorizedOfficialLastName: | SMITH | ||||||||
| AuthorizedOfficialFirstName: | VELMA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7086812991 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225700000X | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | 225100000X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.