Organization
ADVANCED PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADE A MEYER (CCO)
(630) 296-2223
Entity
Organization
Contact information
Practice address
5949 W RAYMOND ST, INDIANAPOLIS, IN 46241-1612
(317) 390-5599
(317) 486-2189
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
53000048A
IN
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
53000048A
IN
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100239270
—
IN
01
—
53000048A
LICENSE NUMBER
IN
Enumeration date
11/09/2006
Last updated
02/27/2026
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