Provider Demographics
NPI:1093584146
Name:APR PHYSICAL THERAPY
Entity Type:Organization
Organization Name:APR PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISRAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-413-0780
Mailing Address - Street 1:387 SHUMAN BLVD STE 210E
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8146
Mailing Address - Country:US
Mailing Address - Phone:925-413-0780
Mailing Address - Fax:
Practice Address - Street 1:387 SHUMAN BLVD STE 310WB
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8450
Practice Address - Country:US
Practice Address - Phone:847-868-9068
Practice Address - Fax:847-868-9069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy