NPI 1629642939 · live from the CMS NPI Registry
Ability At Home Therapy PLLC
Physical Therapist in Roscoe, IL. National Provider Identifier 1629642939, active.
NPI record
| NPI | 1629642939 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 7839 N Gate Rd, Roscoe, IL 61073 |
| Practice phone | 989-479-3101 |
| Enumerated | May 20, 2021 |
| Last updated | September 16, 2021 |
| Authorized official | Elena Colansong, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.