Provider Demographics
NPI:1831891225
Name:BEYOND PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:BEYOND PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:POEPSEL
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:708-738-0809
Mailing Address - Street 1:10730 W 143RD ST STE 31
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-1975
Mailing Address - Country:US
Mailing Address - Phone:708-966-2945
Mailing Address - Fax:708-966-2958
Practice Address - Street 1:10730 W 143RD ST STE 31
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-1975
Practice Address - Country:US
Practice Address - Phone:708-966-2945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1073176343OtherPHYSICAL THERAPIST