| Farmington Physical Therapy, Inc | |
|
625 Enterprise Dr, Oak Brook, IL 60523-8813 | |
| (630) 575-1980 | |
| (630) 928-5080 |
| Full Name | Farmington Physical Therapy, Inc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center |
| Location | 625 Enterprise Dr, Oak Brook, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538197611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Michigan) | Secondary |
| 225X00000X | Occupational Therapist | (Michigan) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jennifer Michelle Holland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295759348 PECOS PAC ID: 9436129269 Enrollment ID: I20040729000285 |
| Provider Name | Todd M Nighswander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912937350 PECOS PAC ID: 7517919442 Enrollment ID: I20050218000280 |
| Provider Name | Wenceslita C Gorowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124147640 PECOS PAC ID: 5395799381 Enrollment ID: I20050311000894 |
| Provider Name | Susan L Gruber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821189648 PECOS PAC ID: 9931109667 Enrollment ID: I20070103000356 |
| Provider Name | Cari L Mcclellan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265590400 PECOS PAC ID: 8921102542 Enrollment ID: I20070409000284 |
| Provider Name | Kelli J Courtois |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104043827 PECOS PAC ID: 0941307656 Enrollment ID: I20070515000056 |
| Provider Name | Michael K Lurvey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336204049 PECOS PAC ID: 5395837884 Enrollment ID: I20070829000193 |
| Provider Name | David W Goldenbogen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174715890 PECOS PAC ID: 9638263197 Enrollment ID: I20070914000669 |
| Provider Name | Mark Joseph Sirois |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598723322 PECOS PAC ID: 3870681661 Enrollment ID: I20071112000537 |
| Provider Name | Heather Terese D Agosta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194967364 PECOS PAC ID: 8820143076 Enrollment ID: I20090911000342 |
| Provider Name | Jodie Blake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154644136 PECOS PAC ID: 1052443371 Enrollment ID: I20100721000584 |
| Provider Name | Paul A Iamarino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124331343 PECOS PAC ID: 8224226345 Enrollment ID: I20101216000091 |
| Provider Name | Susan Mullinix |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770870479 PECOS PAC ID: 4880865732 Enrollment ID: I20110926000350 |
| Provider Name | Melissa L Hutten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245322031 PECOS PAC ID: 2365614864 Enrollment ID: I20111005000391 |
| Provider Name | Erica Marie Handy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467735951 PECOS PAC ID: 8426225764 Enrollment ID: I20120127000045 |
| Provider Name | Rebecca L Ammon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083732432 PECOS PAC ID: 0941462683 Enrollment ID: I20120425000757 |
| Provider Name | Elizabeth A Dungan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790051555 PECOS PAC ID: 2163684804 Enrollment ID: I20120425000811 |
| Provider Name | Jason D Shallow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396096327 PECOS PAC ID: 7810134038 Enrollment ID: I20130507000732 |
| Provider Name | Faina Goldin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225225832 PECOS PAC ID: 1951540202 Enrollment ID: I20130617000410 |
| Provider Name | Amy Henning |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326315045 PECOS PAC ID: 4183866627 Enrollment ID: I20130812000799 |
| Provider Name | Deena M Dennis Covey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467585554 PECOS PAC ID: 4183866502 Enrollment ID: I20130815000140 |
| Provider Name | Jared Kinney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932331493 PECOS PAC ID: 5799927026 Enrollment ID: I20130815000319 |
| Provider Name | Marilyn S Rendel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346373479 PECOS PAC ID: 5890937189 Enrollment ID: I20130816000092 |
| Provider Name | Stephanie M Ray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750533170 PECOS PAC ID: 9133361439 Enrollment ID: I20130816000142 |
| Provider Name | Brian K Leannais |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710173778 PECOS PAC ID: 5597915975 Enrollment ID: I20130924000953 |
| Provider Name | Eliot Michael Woolford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710313846 PECOS PAC ID: 1951532555 Enrollment ID: I20140325000657 |
| Provider Name | Anthony J Greene |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790100071 PECOS PAC ID: 4486886033 Enrollment ID: I20140414000244 |
| Provider Name | Charles E Middleton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225447659 PECOS PAC ID: 8628298411 Enrollment ID: I20140929002259 |
| Provider Name | Beata Jagoda-ohman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588979926 PECOS PAC ID: 5496070757 Enrollment ID: I20150206002099 |
| Provider Name | Marcela Lotero Swetland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083941330 PECOS PAC ID: 6507184686 Enrollment ID: I20150422000244 |
| Provider Name | Nichole F Chakur |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104207521 PECOS PAC ID: 8123331667 Enrollment ID: I20150713002704 |
| Provider Name | Kathleen Maples |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376930859 PECOS PAC ID: 9739492729 Enrollment ID: I20150720003022 |
| Provider Name | Olivia M Robie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659752681 PECOS PAC ID: 5698089548 Enrollment ID: I20150805008244 |
| Provider Name | Paul Bowen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851773311 PECOS PAC ID: 2264749373 Enrollment ID: I20150922000056 |
| Provider Name | Collin J Colegrove |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790151959 PECOS PAC ID: 7719296656 Enrollment ID: I20151016000209 |
| Provider Name | Sara Joyce Magier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881052686 PECOS PAC ID: 8729383328 Enrollment ID: I20160218002395 |
| Provider Name | Jordan T Mansfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023483526 PECOS PAC ID: 1759686264 Enrollment ID: I20160222001236 |
| Provider Name | Bradley Thomas Zielaskowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720129547 PECOS PAC ID: 7719143411 Enrollment ID: I20160224000361 |
| Provider Name | Eli K Ochshorn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124487392 PECOS PAC ID: 1153628862 Enrollment ID: I20160323002591 |
| Provider Name | Roger Charles Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740321611 PECOS PAC ID: 0143486803 Enrollment ID: I20160414002153 |
| Provider Name | Shannon Lynn Lubs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043451495 PECOS PAC ID: 8820254535 Enrollment ID: I20160503001207 |
| Provider Name | Amy Milioni |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568911410 PECOS PAC ID: 4587952627 Enrollment ID: I20161005002161 |
| Provider Name | Joseph Patino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265974091 PECOS PAC ID: 8325328487 Enrollment ID: I20161206002296 |
| Provider Name | Tyler Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851836506 PECOS PAC ID: 6204117039 Enrollment ID: I20170110000596 |
| Provider Name | Michael S Leither |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174772958 PECOS PAC ID: 2567741440 Enrollment ID: I20170524002247 |
| Provider Name | Kathleen Walworth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548797004 PECOS PAC ID: 1658649561 Enrollment ID: I20170619001081 |
| Provider Name | Barbara Anne Cliffe-miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497014831 PECOS PAC ID: 6406154368 Enrollment ID: I20170620000072 |
| Provider Name | Jeffrey Skop |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154841724 PECOS PAC ID: 4082985288 Enrollment ID: I20170807001894 |
| Provider Name | Jillian Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558885038 PECOS PAC ID: 6305117342 Enrollment ID: I20170809001408 |
| Provider Name | Chas S Frey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215466560 PECOS PAC ID: 6204109135 Enrollment ID: I20170829000667 |
| Provider Name | Ryan Mertz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699917070 PECOS PAC ID: 7719250935 Enrollment ID: I20170908001867 |
| Provider Name | Hima Kambhampati |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952422891 PECOS PAC ID: 8426206343 Enrollment ID: I20171019000608 |
| Provider Name | Elise Marsh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043723596 PECOS PAC ID: 8022374826 Enrollment ID: I20171110002113 |
| Provider Name | Amber L Samojedny |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710494885 PECOS PAC ID: 5890054738 Enrollment ID: I20180122002137 |
| Provider Name | Bradley Arthur Rose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548778244 PECOS PAC ID: 8729348917 Enrollment ID: I20180208000699 |
| Provider Name | Brian Patrick Wolfe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669782363 PECOS PAC ID: 5294097283 Enrollment ID: I20180403002587 |
| Provider Name | Mary Olear |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376512723 PECOS PAC ID: 6800142167 Enrollment ID: I20180629000827 |
| Provider Name | Scott Snyder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679985360 PECOS PAC ID: 8123245651 Enrollment ID: I20180828002948 |
| Provider Name | Steven Chmielewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467731349 PECOS PAC ID: 0648436311 Enrollment ID: I20181026001229 |
| Provider Name | Kyle Platek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689169013 PECOS PAC ID: 0042563611 Enrollment ID: I20181029001555 |
| Provider Name | Bijal Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679947741 PECOS PAC ID: 6507101573 Enrollment ID: I20181219001309 |
| Provider Name | Trevor Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740767136 PECOS PAC ID: 7113263484 Enrollment ID: I20190107003366 |
| Provider Name | Ambika Kunnath Puliyakote |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346767613 PECOS PAC ID: 7012189749 Enrollment ID: I20190108000356 |
| Provider Name | Aleise Chartier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255731410 PECOS PAC ID: 4183962350 Enrollment ID: I20190213001660 |
| Provider Name | Deborah Wildenhaus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639668072 PECOS PAC ID: 0143569400 Enrollment ID: I20190304001581 |
| Provider Name | Kenneth Harlan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568920288 PECOS PAC ID: 1557601002 Enrollment ID: I20190319002517 |
| Provider Name | Richard Dennis Lafave |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982861183 PECOS PAC ID: 3072689942 Enrollment ID: I20190506002419 |
| Provider Name | David Schuler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205491784 PECOS PAC ID: 5991048613 Enrollment ID: I20190521003218 |
| Provider Name | Derrik Faunt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922664341 PECOS PAC ID: 9638412141 Enrollment ID: I20190528000030 |
| Provider Name | Julia Suyak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942868385 PECOS PAC ID: 7113250143 Enrollment ID: I20190606001815 |
| Provider Name | Benjamin Mccown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114586997 PECOS PAC ID: 4880929108 Enrollment ID: I20190709002407 |
| Provider Name | Benjamin Miers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548548902 PECOS PAC ID: 2961668702 Enrollment ID: I20190717000164 |
| Provider Name | Sathyamoorthy Subramanian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386896132 PECOS PAC ID: 4880920859 Enrollment ID: I20190729002832 |
| Provider Name | Ashley Lila Carignan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336796101 PECOS PAC ID: 3072844935 Enrollment ID: I20191008002771 |
| Provider Name | Nathan Scott Hawley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902265390 PECOS PAC ID: 0345536124 Enrollment ID: I20191120000930 |
| Provider Name | Brecken Noelle Schaller Tinney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689211989 PECOS PAC ID: 9830524230 Enrollment ID: I20200113001375 |
| Provider Name | Sydney Hooks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013556976 PECOS PAC ID: 4082040597 Enrollment ID: I20200131001533 |
| Mailing Address | Practice Location Address |
|---|---|
| Farmington Physical Therapy, Inc 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-1980 | Farmington Physical Therapy, Inc 625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: (630) 575-1980 |