Athletex Physical Therapy is a medicare enrolled "Clinic/center - Physical Therapy" provider in Oak Lawn, Illinois. Their current practice location is
4004 W 111th St, Oak Lawn, Illinois. You can reach out to their office (for appointments etc.) via phone at
(708) 424-4025.
Athletex Physical Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Athletex Physical Therapy
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1043384761.
Healthcare Provider's Profile
Full Name | Athletex Physical Therapy |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 4004 W 111th St, Oak Lawn, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043384761
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 11/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 4880856517
- Enrollment ID: O20120425000721
Medical Identifiers
Medical identifiers for Athletex Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043384761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (Illinois) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Athletex Physical Therapy acts as a billing entity for following providers:
Provider Name | Thomas G Mulvey |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1528285681 PECOS PAC ID: 3779734082 Enrollment ID: I20121115000580 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Athletex Physical Therapy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Athletex Physical Therapy 4004 W 111th St, Oak Lawn, IL 60453-5703 Ph: (708) 424-4025 | Athletex Physical Therapy 4004 W 111th St, Oak Lawn, IL 60453-5703 Ph: (708) 424-4025 |
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