ON THE GO PEDIATRIC THERAPY NPI 1962149518

NPI Information

  • NPI: 1962149518
  • Provider Name: ON THE GO PEDIATRIC THERAPY
  • Classification: Physical Therapist - 2251P0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • Address: 1724 JULIET LN
    LIBERTYVILLE, IL
    ZIP 60048
  • Phone: (815) 323-8386

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NPI Details

ON THE GO PEDIATRIC THERAPY is a pediatrics physical therapist in Libertyville, IL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. ON THE GO PEDIATRIC THERAPY NPI is 1962149518. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1724 JULIET LN
LIBERTYVILLE, IL
ZIP 60048-427
Phone: (815) 323-8386

The provider's authorized official is Clare Ehlbeck .
The authorized official title is Manager and has the following contact phone number (815) 323-8386.

The enumeration date for this NPI number is 5/16/2022 and was last updated on 5/16/2022.

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
12251P0200XPhysical TherapistPediatricsYes

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
1331889259001MEDICAIDILLINOIS

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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