Provider Demographics
NPI:1518573963
Name:BETTER PLAY PERFORMANCE & REHAB PLLC
Entity Type:Organization
Organization Name:BETTER PLAY PERFORMANCE & REHAB PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CARVER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, CSCS
Authorized Official - Phone:217-778-0706
Mailing Address - Street 1:1201 WATERS EDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61822-8101
Mailing Address - Country:US
Mailing Address - Phone:217-778-0706
Mailing Address - Fax:
Practice Address - Street 1:1201 WATERS EDGE RD
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61822-8101
Practice Address - Country:US
Practice Address - Phone:217-778-0706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy