Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Supplemental

Organization Physical Therapy Clinic/Center · NPI 1316294507

Supplemental is a Physical Therapy Clinic/Center in Braidwood, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
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Practice location Address checks out

152 S Walker St
Braidwood, IL 60408-1952
Phone: (815) 458-2492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 160.003259 (IL)

Record details

NPI number1316294507
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawn Avitt — Pta · (815) 458-2492
NPI enumeratedAugust 7, 2012
Last updated in NPPESAugust 7, 2012
Mailing address152 S Walker St, Braidwood, IL 60408-1952