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

Mr. Thomas John Neidenbach, PT

Individual provider Physical Therapist · NPI 1053514182

Mr. Thomas John Neidenbach, PT is a Physical Therapist in Private Practice in Forest Park, Illinois. Qualified in 2007, 19 years ago. Practices with Athletic and Therapeutic Institute of Naperville, LLC, a 252-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

109 Harlem Ave
Forest Park, IL 60130-1125
Phone: (708) 488-1408
Fax: (708) 488-1545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13774 Plantation Rd Ste 104, Fort Myers, FL 33912-4461 — (239) 938-1745
  • 1660 Medical Blvd Ste 200, Naples, FL 34110-1416 — (239) 566-3434

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence PT37092 (FL)

Record details

NPI number1053514182
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 6, 2007
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Athletic And Therapeutic Institute Of Naperville, Llc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Forest Park