| Kiya Raines, | |
|
25520 S Pheasant Ln Unit Mn, Channahon, IL 60410-8805 | |
| (815) 521-0111 | |
| (815) 521-0222 |
| Full Name | Kiya Raines |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 25520 S Pheasant Ln Unit Mn, Channahon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952190845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070028057 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 239811 (Alaska) | Primary |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Kiya Raines, 900 W Sunset Dr Apt 115, Glenwood, IL 60425-1151 Ph: (708) 949-1588 | Kiya Raines, 25520 S Pheasant Ln Unit Mn, Channahon, IL 60410-8805 Ph: (815) 521-0111 |
Accelerated Rehabilitation Centers, Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25520 S Pheasant Ln, Unit M&n, Channahon, IL 60410 Phone: 815-521-0111 Fax: 815-521-0222 | |
Brenda Leisinger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25445 S Pheasant Ln, Unit H, Channahon, IL 60410 Phone: 815-521-0111 Fax: 815-521-0222 | |
Elizabeth Boersma, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26555 S Jacob Dr, Channahon, IL 60410 Phone: 815-483-8944 Fax: 815-521-2896 | |
Elite Rehabilitaion Institue Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24457 W Eames St, Channahon, IL 60410 Phone: 815-724-0835 Fax: 815-724-0845 | |
Colton Dolak, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25520 S Pheasant Ln Unit Mn, Channahon, IL 60410 Phone: 815-521-0111 Fax: 815-521-0222 | |
Erika Forsythe, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25445 S Pheasant Ln, Unit H, Channahon, IL 60410 Phone: 815-521-0111 Fax: 815-521-0222 | |
Adam Kagan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25407 S Bell Rd Ste A, Channahon, IL 60410 Phone: 312-421-1016 |