Provider Demographics
NPI:1114544079
Name:NEW HORIZONS PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:NEW HORIZONS PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GEETHA
Authorized Official - Middle Name:N
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:224-715-9662
Mailing Address - Street 1:428 SPRINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-1077
Mailing Address - Country:US
Mailing Address - Phone:224-715-9662
Mailing Address - Fax:
Practice Address - Street 1:428 SPRINGWOOD DR
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-1077
Practice Address - Country:US
Practice Address - Phone:224-715-9662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy