Experience Physical Therapy, Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Buffalo Grove, Illinois. Their current practice location is
1350 Abbott Ct, Buffalo Grove, Illinois. You can reach out to their office (for appointments etc.) via phone at
(847) 917-1476.
Experience Physical Therapy, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Experience Physical Therapy, Llc
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 1255956751.
Healthcare Provider's Profile
Full Name | Experience Physical Therapy, Llc |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 1350 Abbott Ct, Buffalo Grove, 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: 1255956751
- Provider Enumeration Date: 06/10/2020
- Last Update Date: 10/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 8022428358
- Enrollment ID: O20201027003098
Medical Identifiers
Medical identifiers for Experience Physical Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255956751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | 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.
Experience Physical Therapy, Llc acts as a billing entity for following providers:
Provider Name | Kenneth Kells |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1245725985 PECOS PAC ID: 3577814573 Enrollment ID: I20181001000946 |
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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. Experience Physical Therapy, Llc 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 |
Experience Physical Therapy, Llc 8928 Marmora Ave, Morton Grove, IL 60053-2447 Ph: (847) 917-1476 | Experience Physical Therapy, Llc 1350 Abbott Ct, Buffalo Grove, IL 60089-2378 Ph: (847) 917-1476 |
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