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Organization

PHYSICAL THERAPY AND SPORTS INJURY REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY WALTER KAUMEYER P.T. (CO-OWNER)
(708) 633-8379
Entity
Organization

Contact information

Practice address
17236 HARLEM AVE, TINLEY PARK, IL 60477-6619
(708) 633-8379
(708) 633-8614
Mailing address
17236 HARLEM AVE, TINLEY PARK, IL 60477-6619
(708) 633-8379
(708) 633-8614

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
2251S0007X
Sports Physical Therapist
2251X0800X
Orthopedic Physical Therapist
225200000X
Physical Therapy Assistant
2255A2300X
Athletic Trainer
Primary
225X00000X
Occupational Therapist

Other

Enumeration date
03/23/2007
Last updated
09/11/2025
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