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WADDELL SPORTS REHAB LLC
NPI 1972377273
Physical Therapist - Sports in Evergreen Park, IL

Active since November 08, 2023
9820 S TRUMBULL AVE, EVERGREEN PARK, IL 60805(773) 307-7288 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Waddell Sports Rehab Llc NPPES

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

WADDELL SPORTS REHAB LLC (NPI 1972377273) is a healthcare organization registered as a sports in Evergreen Park, Illinois and active in the NPI registry since November 2023. The organization lists Robert Martin Waddell, Owner, as its authorized official.

NPPES Registry Identity

NPI1972377273
Entity TypeOrganization
Primary Taxonomy2251S0007X
Legal Business NameWADDELL SPORTS REHAB LLC
Location Address9820 S TRUMBULL AVEEvergreen Park, IL 60805-3049
Mailing Address9820 S Trumbull AveEvergreen Park, IL 60805-3049 · (773) 307-7288
Phone(773) 307-7288
Organization SubpartNo
Authorized OfficialRobert Martin WaddellOwner · (773) 307-7288
Enumeration DateNovember 8, 2023
NPPES CertifiedNovember 8, 2023
✔ NPI 1972377273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
9820 S TRUMBULL AVE, Evergreen Park, IL 60805
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Waddell Sports Rehab LLC's NPI number?

The NPI number for Waddell Sports Rehab LLC is 1972377273. It was assigned to this organization in the NPPES registry on November 8, 2023.

Where is Waddell Sports Rehab LLC located?

Waddell Sports Rehab LLC is located at 9820 S Trumbull Ave, Evergreen Park, IL 60805. The listed phone number is (773) 307-7288.

What is Waddell Sports Rehab LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Waddell Sports Rehab LLC was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.