# 360 REHABILITATION & PHYSICAL THERAPY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710536206
- **Authorized official:** DR. KRISTINE MAYA PT, DPT (OWNER)
- **Authorized official phone:** (847) 481-9848

## Contact information

- **Practice address:** 9041 MOODY AVENUE, MORTON GROVE, IL 60053
- **Practice address phone:** (847) 461-3461
- **Mailing address:** 9114 WAUKEGAN RD UNIT 396, MORTON GROVE, IL 60053-3816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2019
- **Last updated:** 10/08/2024