Benjamin S Roth
Benjamin S Roth is a Physical Therapist in Private Practice in Le Roy, Illinois. Qualified in 2020, 6 years ago. Practices with Athletic and Therapeutic Institute of Bourbonnais, LLC, a 170-clinician group and accepts Medicare assignment.
- Years since qualifying
- 6
- In the registry since
- 2021
Practice location Address checks out
200 E Cedar St Ste 3Le Roy, IL 61752-1903
Phone: (309) 962-3240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1124618046 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 25, 2021 |
| Last updated in NPPES | January 25, 2021 |
| Certification date | January 25, 2021 |
| Mailing address | 790 Remington Blvd, Bolingbrook, IL 60440-4909 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Athletic And Therapeutic Institute Of Bourbonnais, Llc — 170 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Le Roy
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Autumn Gillibrand, DPT
200 E Cedar St Ste C, Le Roy, IL 61752-1902 · (309) 962-3240