| Miss Ria Esperanza De Leon Jimenez, PT | |
|
3125 Heritage Pkwy, Elgin, IL 60124-3804 | |
| (630) 873-0108 | |
| Not Available |
| Full Name | Miss Ria Esperanza De Leon Jimenez |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3125 Heritage Pkwy, Elgin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043571946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070017807 (Illinois) | Primary |
| 225100000X | Physical Therapist | 031234 (New York) | Secondary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1982018362 PECOS PAC ID: 2365359932 Enrollment ID: O20141024000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Ria Esperanza De Leon Jimenez, PT 3125 Heritage Pkwy, Elgin, IL 60124-3804 Ph: (630) 873-0108 | Miss Ria Esperanza De Leon Jimenez, PT 3125 Heritage Pkwy, Elgin, IL 60124-3804 Ph: (630) 873-0108 |
Mrs. Linda Sue Roherty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 847-695-5904 | |
Tiffany Brodersen, PT, DPT, CLT-LANA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2320 Royal Blvd, Elgin, IL 60123 Phone: 224-783-6128 | |
Uriel Favela, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2320 Royal Blvd, Elgin, IL 60123 Phone: 224-783-6128 | |
Team Rehabilitation Il07, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 365 S Randall Rd, Elgin, IL 60123 Phone: 847-930-5950 Fax: 847-930-5951 | |
Casandra L Holmes, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1550 N Randall Rd, Elgin, IL 60123 Phone: 815-398-9491 Fax: 815-381-7498 | |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 795 Summit St, Unit A, Elgin, IL 60120 Phone: 630-575-1980 |