Organization
SMITH PHYSICAL THERAPY AND RUNNING ACADEMY, LLC
Active
Other names
Smith Physical Therapy; Smith Running Academy
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE FONTANA SMITH PT (PHYSICAL THERAPIST; OWNER)
(815) 893-9075
Entity
Organization
Contact information
Practice address
215 EXCHANGE DR, SUITE E, CRYSTAL LAKE, IL 60014-6206
(815) 893-9075
Mailing address
215 EXCHANGE DR, SUITE E, CRYSTAL LAKE, IL 60014-6206
(815) 893-9075
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
248001268
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801989819
UNKNOWN
IL
Enumeration date
11/19/2015
Last updated
04/25/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us