| Sean Mark Labastida Superticioso, PT | |
|
1 S Virginia St, Crystal Lake, IL 60014-5828 | |
| (815) 356-9371 | |
| (815) 356-9428 |
| Full Name | Sean Mark Labastida Superticioso |
|---|---|
| Gender | Male |
| Speciality | Physical Therapy |
| Experience | 8 Years |
| Location | 1 S Virginia St, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497217350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070024159 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crystal Lake Physical Therapy Inc | 1254636491 | 4 |
| Aranem Incorporated | 9234410432 | 3 |
| Provider Name | Comprehensive Therapeutics Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663 |
| Provider Name | Crystal Lake Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1326404682 PECOS PAC ID: 1254636491 Enrollment ID: O20160225000731 |
| Provider Name | Pain Relief Institute Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003364233 PECOS PAC ID: 3375822406 Enrollment ID: O20161114001391 |
| Provider Name | Aranem Incorporated |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1063963908 PECOS PAC ID: 9234410432 Enrollment ID: O20161230000979 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Mark Labastida Superticioso, PT 1 S Virginia St, Crystal Lake, IL 60014-5828 Ph: (815) 356-9371 | Sean Mark Labastida Superticioso, PT 1 S Virginia St, Crystal Lake, IL 60014-5828 Ph: (815) 356-9371 |
Wendy Fritz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Lane; Suite 170, Centegra Health System: Neuro-rehabilitation Center, Crystal Lake, IL 60014 Phone: 815-356-2700 | |
Mrs. Lori Ann Bright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1629 Rolling Hills Dr, Crystal Lake, IL 60014 Phone: 847-669-8008 | |
Evan R Corsolini, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 407 E Congress Pkwy Ste C, Crystal Lake, IL 60014 Phone: 847-987-5085 Fax: 847-462-0755 | |
Nelle Link, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Northwest Hwy, Crystal Lake, IL 60014 Phone: 815-455-7800 Fax: 815-455-1299 | |
Tcm Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4421 S Nancy Dr, Crystal Lake, IL 60014 Phone: 815-245-3845 | |
Ms. Gina Huber, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 E Congress Pkwy, Crystal Lake, IL 60014 Phone: 815-477-4348 Fax: 815-477-5828 | |
Mrs. Brittany Ardagna, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 750 E Terra Cotta Ave Ste D, Crystal Lake, IL 60014 Phone: 815-404-2568 Fax: 815-287-9556 |