Organization
COMMUNITY PHYSICAL THERAPY & ASSOC LTD
Active
Other names
Community Physical Therapy & Associates., LTD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT TRIPICCHIO PT D.SC. (PRESIDENT)
(630) 766-0505
Entity
Organization
Contact information
Practice address
2171 W EXECUTIVE DR, SUITE 450, ADDISON, IL 60101-5625
(630) 282-5588
(630) 282-5587
Mailing address
2171 W EXECUTIVE DR, SUITE 500, ADDISON, IL 60101-5625
(630) 282-5588
(630) 282-5587
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01683361
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
09/20/2006
Last updated
10/18/2016
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