Midwest Performance Rehab, PLLC
Physical Therapist in Leaf River, IL. Organization (NPI-2).
NPI number1609622158
StatusActive
Last updated in NPPESJul 24, 2024
Details
- NPI
- 1609622158
- Entity type
- Organization (NPI-2)
- Legal business name
- Midwest Performance Rehab, PLLC
- Organization subpart
- No
- Enumeration date
- Apr 25, 2024
- Certification date
- Jul 24, 2024
- Last updated
- Jul 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Practice location
7212 N Pecatonica RdLeaf River, IL 61047-9402
Phone 630-809-9838
Mailing address
7212 N Pecatonica RdLeaf River, IL 61047-9402
Phone 630-809-9838
Other practice locations
426 N Center St
Durand, IL 61024
Durand, IL 61024
Phone 630-809-9838
Authorized official
Thomas Michael Vant
President
6308099838
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapist providers in Leaf River, IL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.