Provider Demographics
NPI:1245067115
Name:CALIBRATE PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:CALIBRATE PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:J
Authorized Official - Last Name:RIO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:815-298-5647
Mailing Address - Street 1:4504 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:LOVES PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61111-8660
Mailing Address - Country:US
Mailing Address - Phone:815-298-5647
Mailing Address - Fax:
Practice Address - Street 1:6110 BROADCAST PKWY STE B
Practice Address - Street 2:
Practice Address - City:LOVES PARK
Practice Address - State:IL
Practice Address - Zip Code:61111-8664
Practice Address - Country:US
Practice Address - Phone:815-298-5647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty