Provider Demographics
NPI:1568589844
Name:ORLAND THERAPY SPECIALISTS LTD
Entity Type:Organization
Organization Name:ORLAND THERAPY SPECIALISTS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:C
Authorized Official - Last Name:NYE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:708-403-5199
Mailing Address - Street 1:14640 JOHN HUMPHREY DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-5854
Mailing Address - Country:US
Mailing Address - Phone:708-403-5199
Mailing Address - Fax:708-403-7274
Practice Address - Street 1:14640 JOHN HUMPHREY DR
Practice Address - Street 2:SUITE 102
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-5854
Practice Address - Country:US
Practice Address - Phone:708-403-5199
Practice Address - Fax:708-403-7274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty
Not Answered2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL354400405001Medicaid
IL4429630OtherAETNA INSURANCE
IL0931450001OtherMEDICARE DME
IL1618482OtherBLUE CROSS BLUE SHIELD
IL933090Medicare ID - Type Unspecified