Nicholas A. Batson

LBN: Batson Pediatric Physical Therapy And Sport Rehabilitation
Nicholas A. Batson is an health care organization with primary practice located at 25753 W Ivanhoe Rd , Wauconda IL 60084-2366. The organization recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, Suppliers / Customized Equipment. Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other is the primary health care specialty. Batson Pediatric Physical Therapy And Sport Rehabilitation can be contacted via phone (847) 254-1708, or through Batson, Nicholas Avellino via phone (847) 254-1708.

Contact Information

Primary practice address
25753 W Ivanhoe Rd Wauconda IL 60084-2366
Phone: (847) 254-1708
Fax: (847) 487-0759
Website:
Map and Directions
Authorized official contact:
Name: Batson, Nicholas Avellino Physical Therapist (PT)
Phone: (847) 254-1708

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 213000023 Illinois
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 070011615 Illinois
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1649402629
LBN Legal business name Batson Pediatric Physical Therapy And Sport Rehabilitation
DBA Doing business as Nicholas A. Batson
Authorized official Batson, Nicholas Avellino Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2009
Last updated Aug 10th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649402629 NPPES
Illinois MEDICAID 110624814001

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