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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHNNY PASSARELLI, PT, MPT, CSCS, SCS

Active

JOHNNY PASSARELLI, PT, MPT, CSCS, SCS is a Physical Therapy Assistant healthcare provider located in FOX LAKE, Illinois. NPI 1265461958 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FOX LAKE, IL

Registration Details

NPI Number
1265461958
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2006 (19.972752934631 yrs)
Last Updated
Mar 17, 2018
Licenses
6036024 (WI)
070-010887 (IL)

Practice Information

Address
1294 S ROUTE 12
FOX LAKE, IL, 600201950
Browse IL providers · Browse ZIP 60020
Phone
8479739440
Fax
8479739442
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in FOX LAKE, IL

Name Credential NPI
DEAN PAPADOPOULOS DPT 1194744995
KRISTINE S KAHN PT 1639371776
LYNN M. MALONEY DPT 1770916447
CRYSTAL C SCHOLTEN DPT 1063903417
JACOB BROWN 1144786542
KIRSTEN NICOLE SCHREINER DPT 1003413477
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.