LIBERTY PHYSICAL THERAPY PC NPI 1710930383

NPI Information

  • NPI: 1710930383
  • Provider Name: LIBERTY PHYSICAL THERAPY, PC
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Organization
  • Address: 2738 W NORTH AVE
    CHICAGO, IL
    ZIP 60647
  • Phone: (773) 292-9380

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NPI Details

LIBERTY PHYSICAL THERAPY, PC is an orthopedic physical therapist in Chicago, IL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. LIBERTY PHYSICAL THERAPY, PC NPI is 1710930383. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2738 W NORTH AVE
CHICAGO, IL
ZIP 60647-247
Phone: (773) 292-9380
Fax: (773) 292-9381

The provider's authorized official is Mehana A Osman .
The authorized official title is Owner and has the following contact phone number (773) 292-9380.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedicILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17811632OTHERILLINOISAETNA
201634847OTHERILLINOISBLUE CROSS BLUE SHIELD
3210685MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE PROVIDER NUMBER
4=========OTHERILLINOISUNITED HEALTHCARE
5627364415001MEDICAIDILLINOIS
6=========OTHERILLINOISUNICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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