| Organization Name: | PHYSICAL THERAPY ADVANTAGE, P.C. |
| NPI Number: | 1487700712 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH MICHAEL KING (PRESIDENT) |
| Mailing Address: | 35 S Randall Rd North Aurora |
| State: | IL US |
| Postal Code: | 605421585 |
| Phone Number: | 6304063565 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2007 |
| NPI Last Update Date: | 03/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |