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

Ciara Dominique McNutt, PTA

Individual provider Physical Therapy Assistant · NPI 1649046673

Ciara Dominique McNutt, PTA is a Physical Therapy Assistant in Olympia Fields, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone: (708) 852-2540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160009891 (IL)

Record details

NPI number1649046673
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 30, 2023
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

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