Athletic Edge Physical Therapy Llc is a
Clinic/center - Physical Therapy based in Chicago, Illinois. Athletic Edge Physical Therapy Llc is licensed to practice in Illinois (license number 070015130) and their current practice location is
1319 S Michigan Ave, Chicago, Illinois. It can be reached at their office (for appointments etc.) via phone at
(312) 617-5949.
NPI number for Athletic Edge Physical Therapy Llc is 1124326038 and their current mailing address is 1319 S Michigan Ave, Chicago, Illinois. Athletic Edge Physical Therapy Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1124326038.
Healthcare Provider's Profile
Full Name | Athletic Edge Physical Therapy Llc |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 1319 S Michigan Ave, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124326038
- Provider Enumeration Date: 03/02/2011
- Last Update Date: 06/06/2011
Medical Identifiers
Medical identifiers for Athletic Edge Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124326038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 070015130 (Illinois) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | 070015130 (Illinois) | Primary |
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. Athletic Edge Physical Therapy Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Athletic Edge Physical Therapy Llc 1319 S Michigan Ave, Chicago, IL 60605-2601 Ph: (312) 617-5949 | Athletic Edge Physical Therapy Llc 1319 S Michigan Ave, Chicago, IL 60605-2601 Ph: (312) 617-5949 |
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