Provider Demographics
NPI:1518295294
Name:TNT PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:TNT PHYSICAL THERAPY, INC.
Other - Org Name:EMPATHY REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:AVELLINO
Authorized Official - Last Name:BATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-516-1313
Mailing Address - Street 1:2353 HASSELL RD
Mailing Address - Street 2:BLACKBERRY FALLS, SUITE 102
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2170
Mailing Address - Country:US
Mailing Address - Phone:847-519-1313
Mailing Address - Fax:847-516-1314
Practice Address - Street 1:2353 HASSELL RD
Practice Address - Street 2:BLACKBERRY FALLS, SUITE 102
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2170
Practice Address - Country:US
Practice Address - Phone:847-519-1313
Practice Address - Fax:847-516-1314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL160003675261QR0401X
IL057001111261QR0401X
IL277008211261QR0401X
IL070011615261QR0401X
IL056003705261QR0401X
IL070010964261QR0401X
IL0700046670261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL2798Medicare UPIN