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

Mrs. Angeline Lardizabal, RPT

Individual provider Physical Therapist · NPI 1649541657

Mrs. Angeline Lardizabal, RPT is a Physical Therapist in Private Practice in Salem, Illinois. Qualified in 2007, 19 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2012

Practice location Address checks out

555 Roddy Rd Apt 1C
Salem, IL 62881-3970
Phone: (312) 623-4940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)

Record details

NPI number1649541657
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPT
Sole proprietorYes
NPI enumeratedJanuary 23, 2012
Last updated in NPPESFebruary 11, 2022

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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