Modern Athlete Physical Therapy Llc

LBN: Modern Athlete Physical Therapy Llc
Modern Athlete Physical Therapy Llc is an health care organization with primary practice located at 1033 Progress Dr , Grayslake IL 60030-1672. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is the primary health care specialty. Modern Athlete Physical Therapy Llc can be contacted via phone (847) 257-5172, or through Bitzer, Michael Todd via phone (847) 257-5172.

Contact Information

Primary practice address
1033 Progress Dr Grayslake IL 60030-1672
Phone: (847) 257-5172
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bitzer, Michael Todd Physical Therapist (PT)
Phone: (847) 257-5172

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1346859477
LBN Legal business name Modern Athlete Physical Therapy Llc
DBA Doing business as
Authorized official Bitzer, Michael Todd Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2020
Last updated Jul 24th, 2020 - about 4 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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