| Goodlife Physical Therapy | |
|
16517 106th Ct, Orland Park, IL 60467-4545 | |
| (708) 966-4386 | |
| (708) 966-4387 |
| Full Name | Goodlife Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 16517 106th Ct, Orland Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053557264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070-013727 (Illinois) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Mirab M Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902079981 PECOS PAC ID: 4880763515 Enrollment ID: I20080520000773 |
| Provider Name | Dana S Weith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861622656 PECOS PAC ID: 2961558986 Enrollment ID: I20090916000566 |
| Provider Name | Megha A Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760667653 PECOS PAC ID: 8022296011 Enrollment ID: I20131107000654 |
| Provider Name | Lindsay Jana |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689040644 PECOS PAC ID: 2264748524 Enrollment ID: I20150901001277 |
| Provider Name | Jennesa E Fahey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013366467 PECOS PAC ID: 6709174543 Enrollment ID: I20161012000002 |
| Provider Name | Steven A Tijerina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851846026 PECOS PAC ID: 0345521043 Enrollment ID: I20170111000156 |
| Provider Name | Eileen A Conneely |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811424948 PECOS PAC ID: 3173858826 Enrollment ID: I20190717002189 |
| Provider Name | Sonal Choudhary |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285982207 PECOS PAC ID: 6800219825 Enrollment ID: I20200709002645 |
| Provider Name | Fred Kassal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487316741 PECOS PAC ID: 0244621258 Enrollment ID: I20211230001494 |
| Provider Name | Daniel J Kusper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811779036 PECOS PAC ID: 6406291293 Enrollment ID: I20240304000127 |
| Provider Name | Danielle Linn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689923070 PECOS PAC ID: 9133568645 Enrollment ID: I20240417000870 |
| Provider Name | Jastine Sahota |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801336391 PECOS PAC ID: 8820444078 Enrollment ID: I20240711001886 |
| Mailing Address | Practice Location Address |
|---|---|
| Goodlife Physical Therapy 9730 S Western Ave, Evergreen Park, IL 60805-2814 Ph: (708) 581-9700 | Goodlife Physical Therapy 16517 106th Ct, Orland Park, IL 60467-4545 Ph: (708) 966-4386 |
Mrs. Barbara Joan Castro, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11737 Camelot Ln, Orland Park, IL 60467 Phone: 708-226-1546 | |
Jill Lenzen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13125 S La Grange Rd, Orland Park, IL 60462 Phone: 708-671-1971 Fax: 708-671-1973 | |
Edwin Flores, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16170 Kingsport Rd, Orland Park, IL 60467 Phone: 708-349-6544 | |
Mrs. Jessica Cristina Burchett, P.T., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11215 W 159th St, Orland Park, IL 60467 Phone: 773-938-8500 Fax: 773-938-8501 | |
Justine Anna Kwak, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14225 S 95th Ave Ste 453, Orland Park, IL 60462 Phone: 708-787-0952 Fax: 708-787-0958 | |
James Frederick Margas, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14700 S La Grange Rd, Orland Park, IL 60462 Phone: 708-873-8822 Fax: 708-873-8823 | |
Mark Phillip Pastrick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15430 West Ave, Orland Park, IL 60462 Phone: 708-923-5050 Fax: 708-226-2528 |