Provider Demographics
NPI:1831702232
Name:PARAMOUNT PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:PARAMOUNT PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:779-875-8794
Mailing Address - Street 1:2960 ARTESIAN RD STE 152
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-4876
Mailing Address - Country:US
Mailing Address - Phone:779-875-8794
Mailing Address - Fax:
Practice Address - Street 1:2960 ARTESIAN RD STE 152
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-4876
Practice Address - Country:US
Practice Address - Phone:779-875-8794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy