Provider Demographics
NPI:1770888711
Name:SARTORI, ASHLEY A (PT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:A
Last Name:SARTORI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:A
Other - Last Name:NOVAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2001 BUTTERFIELD RD STE 1600
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1211
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8455 BROADWAY
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6220
Practice Address - Country:US
Practice Address - Phone:219-769-7211
Practice Address - Fax:219-769-7236
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
IN05011105A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00931536OtherMEDCIARE RAILROAD
IL216859162Medicare PIN
ILP00931536OtherMEDCIARE RAILROAD
IL202845246Medicare PIN