Provider Demographics
NPI:1457419343
Name:ORTHOFLEX PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:ORTHOFLEX PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:VALKNER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, OCS
Authorized Official - Phone:630-293-0900
Mailing Address - Street 1:2001 FRANCISCAN WAY
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-6228
Mailing Address - Country:US
Mailing Address - Phone:630-293-0900
Mailing Address - Fax:630-293-0991
Practice Address - Street 1:2001 FRANCISCAN WAY
Practice Address - Street 2:
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-6228
Practice Address - Country:US
Practice Address - Phone:630-293-0900
Practice Address - Fax:630-293-0991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL211419Medicare ID - Type UnspecifiedMEDICARE GROUP ID NUMBER