FORM & FUNCTION PHYSICAL THERAPY, LLC (NPI# 1508499328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508499328 |
| Entity Type | Organization |
| Organization Name | FORM & FUNCTION PHYSICAL THERAPY, LLC |
| Practice Address |
509 S Stratford Ave Elmhurst IL 60126-4121 |
| Practice Telephone | 8478587557 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | LAUREN APLINGTON (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8478587557 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
509 S STRATFORD AVE |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-4121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919589 | Hun K Physical Therapy P.C. | Clinic/Center | 4015 81st St Apt A65, Elmhurst, NY 11373-1343 | 2020-10-16 |
| 1609330422 | Grace Francisco Services Inc | Clinic/Center | 8715 Justice Ave Fl 1, Elmhurst, NY 11373-4556 | 2019-01-25 |
| 1770015216 | Cygnificare Pt, P.C. | Clinic/Center | 9425 53rd Ave, Elmhurst, NY 11373-4611 | 2017-04-03 |
| 1740634237 | Elsanaa Pt PC | Clinic/Center | 8609 51st Ave, Elmhurst, NY 11373-3923 | 2016-04-20 |
| 1871912584 | Concierge Physical Therapy Ltd. | Clinic/Center | 444 N York St, Elmhurst, IL 60126-5512 | 2014-04-09 |
| 1093130056 | Lester Duldulao | Clinic/Center | 9030 55th Ave Apt 3, Elmhurst, NY 11373-4561 | 2014-02-27 |
| 1154660074 | All Well Physical Therapy and Acupuncture P.c | Clinic/Center | 9231 57th Ave Apt 5d, Elmhurst, NY 11373-5062 | 2013-02-13 |
| 1184905085 | Myla Yuzon Belmonte | Clinic/Center | 8706 58th Ave, Elmhurst, NY 11373-4821 | 2011-09-06 |
| 1154326130 | Rci Wrs Inc | Clinic/Center | 275 N York St, Elmhurst, IL 60126-2766 | 2005-06-16 |
| 1306460068 | Relive Physical Therapy of Elmhurst | Clinic/Center | 729 N York St, Elmhurst, IL 60126-1607 | 2020-05-28 |
| Find all providers in ELMHURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.