| Mr Thomas John Neidenbach, PT | |
|
109 Harlem Ave, Forest Park, IL 60130-1125 | |
| (708) 488-1408 | |
| (708) 488-1545 |
| Full Name | Mr Thomas John Neidenbach |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 31 Years |
| Location | 109 Harlem Ave, Forest Park, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053514182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT37092 (Florida) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletic And Therapeutic Institute Of Naperville, Llc | 8325014020 | 224 |
| Millennium Physician Group Llc | 9830244433 | 866 |
| Provider Name | Athletic And Therapeutic Institute Of Naperville, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023129681 PECOS PAC ID: 8325014020 Enrollment ID: O20040903000494 |
| Provider Name | Athletic And Therapeutic Institute Of Bourbonnais, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861503542 PECOS PAC ID: 4183692577 Enrollment ID: O20040923000220 |
| 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 |
| Provider Name | Ivyrehab Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1376917187 PECOS PAC ID: 7012997638 Enrollment ID: O20160304000277 |
| Provider Name | American Hip Institute Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285101808 PECOS PAC ID: 9335488063 Enrollment ID: O20190225001800 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas John Neidenbach, PT 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: () - | Mr Thomas John Neidenbach, PT 109 Harlem Ave, Forest Park, IL 60130-1125 Ph: (708) 488-1408 |
Susan Pachter, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7251 Madison St, Forest Park, IL 60130 Phone: 708-383-5795 | |
Dr. Natalie Hoff, PT, DPT, CERT-MDT Physical Therapist Medicare: Medicare Enrolled Practice Location: 842 Lathrop Ave, Forest Park, IL 60130 Phone: 847-504-6561 | |
Amy Van Santen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 Rockford Ave, Forest Park, IL 60130 Phone: 708-488-8744 Fax: 708-488-8744 | |
Elizabeth Ritzenthaler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7251 Madison St, Forest Park, IL 60130 Phone: 708-383-5795 | |
David Rivera, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 Desplaines Ave, Forest Park, IL 60130 Phone: 708-366-2442 | |
Melanie Ketchmark, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8200 Roosevelt Rd, Forest Park, IL 60130 Phone: 708-850-4889 |