Provider Demographics
NPI:1124603535
Name:ACT NOW PHYSICAL THERAPY AND CONCUSSION MANAGEMENT INC.
Entity Type:Organization
Organization Name:ACT NOW PHYSICAL THERAPY AND CONCUSSION MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:DEAKINS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:312-504-1225
Mailing Address - Street 1:1423 FISCHRUPP AVE
Mailing Address - Street 2:
Mailing Address - City:WHITING
Mailing Address - State:IN
Mailing Address - Zip Code:46394-2028
Mailing Address - Country:US
Mailing Address - Phone:312-504-1225
Mailing Address - Fax:
Practice Address - Street 1:2230 INDIANAPOLIS BLVD
Practice Address - Street 2:
Practice Address - City:WHITING
Practice Address - State:IN
Practice Address - Zip Code:46394-1956
Practice Address - Country:US
Practice Address - Phone:312-504-1225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-17
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty