Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRAVEHEARTS AT THE BERGMANN CENTER
Active OrganizationBRAVEHEARTS AT THE BERGMANN CENTER is a Physical Therapy Assistant organization located in POPLAR GROVE, Illinois. NPI 1497060743 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · POPLAR GROVE, IL
Registration Details
- NPI Number
- 1497060743
- Provider Type
- Organization
- NPI Issued
- Aug 11, 2010 (15.861608269664 yrs)
- Last Updated
- Aug 11, 2010
- Licenses
-
056004082 (IL)146004807 (IL)070008709 (IL)
Practice Information
- Address
-
4950 IL ROUTE 173POPLAR GROVE, IL, 610659718Browse IL providers · Browse ZIP 61065
- Phone
- 8157652113
- Fax
- 8159438426
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Speech, Language and Hearing Specialist
- Additional Specialty
- Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.