SUPPLEMENTAL
NPI 1316294507
Clinic/Center - Physical Therapy in Braidwood, IL

Active since August 07, 2012
152 S WALKER ST, BRAIDWOOD, IL 60408(815) 458-2492 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Supplemental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPPLEMENTAL (NPI 1316294507) is a healthcare organization registered as a physical therapy in Braidwood, Illinois and active in the NPI registry since August 2012. The organization lists Dawn T Avitt, Pta, as its authorized official.

NPPES Registry Identity

NPI1316294507
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameSUPPLEMENTAL
Location Address152 S WALKER STBraidwood, IL 60408-1952
Mailing Address152 S Walker StBraidwood, IL 60408-1952 · (815) 458-2492
Organization SubpartNo
Authorized OfficialDawn T AvittPta · (815) 458-2492
Enumeration DateAugust 7, 2012
NPI 1316294507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in IL · 160.003259
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
152 S WALKER ST, Braidwood, IL 60408

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supplemental's NPI number?

The NPI number for Supplemental is 1316294507. It was assigned to this organization in the NPPES registry on August 7, 2012.

Where is Supplemental located?

Supplemental is located at 152 S Walker St, Braidwood, IL 60408. The listed phone number is (815) 458-2492.

What is Supplemental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Supplemental was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.