Fyzical Therapy And Balance Center Of South Oak Park is a medicare enrolled "Clinic/center - Physical Therapy" provider in Oak Park, Illinois. Their current practice location is
852 Madison St, Oak Park, Illinois. You can reach out to their office (for appointments etc.) via phone at
(708) 445-3965.
Fyzical Therapy And Balance Center Of South Oak Park is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Fyzical Therapy And Balance Center Of South Oak Park
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 1275775421.
Healthcare Provider's Profile
Full Name | Fyzical Therapy And Balance Center Of South Oak Park |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 852 Madison St, Oak Park, 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: 1275775421
- Provider Enumeration Date: 04/02/2009
- Last Update Date: 10/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608925565
- Enrollment ID: O20090522000491
Medical Identifiers
Medical identifiers for Fyzical Therapy And Balance Center Of South Oak Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275775421 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
2251G0304X | Physical Therapist - Geriatrics | (* (Not Available)) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | 070013594 (Illinois) | 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.
Fyzical Therapy And Balance Center Of South Oak Park acts as a billing entity for following providers:
Provider Name | Ryan C Todd |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1174564744 PECOS PAC ID: 7618924499 Enrollment ID: I20050404000903 |
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Provider Name | Kathryn R Medina |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1598094245 PECOS PAC ID: 9931235124 Enrollment ID: I20100326000579 |
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Provider Name | Austin Henke |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1427713163 PECOS PAC ID: 0749658235 Enrollment ID: I20221114002477 |
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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. Fyzical Therapy And Balance Center Of South Oak Park 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 |
Fyzical Therapy And Balance Center Of South Oak Park 852 Madison St, Oak Park, IL 60302-4441 Ph: (708) 445-3965 | Fyzical Therapy And Balance Center Of South Oak Park 852 Madison St, Oak Park, IL 60302-4441 Ph: (708) 445-3965 |
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