# AMPT ADVANCED MANUAL PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMPT ADVANCED MANUAL PHYSICAL THERAPY SPECIALTY PT CLINICS, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831363738
- **Legal business name:** AMPT ADVANCED MANUAL PHYSICAL THERAPY SPECIALTY PT CLINICS, INC.
- **Authorized official:** MR. VINCENT J KABBAZ PT (OWNER/PRESIDENT)
- **Authorized official phone:** (608) 441-0032

## Contact information

- **Practice address:** 1000 W WASHINGTON BLVD, CHICAGO, IL 60607-2137
- **Practice address phone:** (312) 243-0031
- **Practice address fax:** (312) 243-0032
- **Mailing address:** 1000 W WASHINGTON BLVD, CHICAGO, IL 60607-2137
- **Mailing address phone:** (312) 243-0031
- **Mailing address fax:** (312) 243-0032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070-013614 | IL | Yes |
| 2251X0800X | Orthopedic Physical Therapist | 070-013614 | IL | — |
| 2251X0800X | Orthopedic Physical Therapist | 070-014463 | IL | — |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 04/22/2008